GRACE SUNDARRAO (NPI# 1548402274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548402274 |
| Entity Type | Individual |
| Full Name | GRACE SUNDARRAO |
| Practice Address |
13139 W Linebaugh Ave Ste 201 Tampa FL 33626-4498 |
| Practice Telephone | 8139323013 |
| Practice Fax Number | 8139323016 |
| Mailing Telephone | 8139323013 |
| Mailing Fax Number | 8139323016 |
| Enumeration Date | 2009-03-26 |
| Last Update Date | 2009-07-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
SI1550 | FL | Speech, Language and Hearing Service Providers |
| Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
13139 W LINEBAUGH AVE STE 201 |
| City | TAMPA |
| State | FL |
| Zip Code | 33626-4498 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028447 | Ezphyzio Pllc | Physical Therapist | 11269 Windsor Place Circle, Tampa, FL 33626 | 2020-09-21 |
| 1831737451 | Emily Anne Desarden | Behavior Technician | 8001 Beaty Gorove Dr., Tampa, FL 33626 | 2019-12-13 |
| 1730747395 | Michael A. Pikos, Dds Pa | Oral & Maxillofacial Surgery | 11940 Sheldon Road, Tampa, FL 33626 | 2019-05-30 |
| 1659841229 | Mariana Alejandra Salgado | Behavior Technician | 8001 Beaty Grove Drive, Tampa, FL 33626 | 2018-11-27 |
| 1528563525 | Amanda Ashley Metzger | Chiropractor | 8377 Gunn Hwy, Tampa, FL 33626 | 2018-03-29 |
| 1568971844 | Lindsey Nicole Miller | Behavior Technician | 12725 Race Track Rd Bldg 5, Tampa, FL 33626 | 2017-09-29 |
| 1003335571 | Tampa Life Counseling, LLC | Counselor | 13035 W. Linebaugh Ave #101 Ste G, Tampa, FL 33626 | 2017-09-15 |
| 1033635149 | Peak Payer Solutions, Inc. | General Practice | 12332 Race Track Road, Tampa, FL 33626 | 2017-08-21 |
| 1578098414 | Alexis Brooke Cross | Speech-Language Pathologist | 11672 Crowned Sparrow Ln, Tampa, FL 33626 | 2017-04-28 |
| 1568904084 | Megan Krone | Assistant Behavior Analyst | 2725 Race Track Rd Building Number 5, Westchase, FL 33626 | 2016-11-15 |
| Find all providers in zip 33626 | ||||
| Taxonomy Code | 222Q00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Developmental Therapist |
| A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development. |
| Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437756327 | Tabrisha Ruy | Developmental Therapist | 10204 Douglas Oaks Cir Apt 304, Tampa, FL 33610-8646 | 2020-10-05 |
| 1821607441 | Nakeshia Woody | Developmental Therapist | 3209 E North Bay St, Tampa, FL 33610-6927 | 2020-07-29 |
| 1720640097 | Olga Escobio Torres | Developmental Therapist | 9127 Post Oak Ct, Tampa, FL 33615-5725 | 2019-07-08 |
| 1881250314 | Marcela Herrera-bernardini | Developmental Therapist | 20434 Carolina Cherry Ct, Tampa, FL 33647-2982 | 2019-05-09 |
| 1457915910 | Leticia Pozas Jimenez | Developmental Therapist | 7114 W Creek Dr, Tampa, FL 33615-2308 | 2019-04-30 |
| 1225591266 | Kristin Lynn Edwards | Developmental Therapist | 808 N Franklin St Unit 1510, Tampa, FL 33602-3824 | 2019-04-08 |
| 1528525169 | Alberto M Enriquez Marin | Developmental Therapist | 10549 N Florida Ave Ste G, Tampa, FL 33612-6707 | 2019-03-01 |
| 1134698012 | Bradley Spear | Developmental Therapist | 10708 Preserve Lake Dr Apt 104, Tampa, FL 33626-4442 | 2018-11-20 |
| 1396223798 | Kayla Lashae Keaton | Developmental Therapist | 5091 Florida Mining Blvd, Suite 102, Tampa, FL 33634 | 2018-07-30 |
| 1396221008 | Hannah L. Fox | Developmental Therapist | 5091 Florida Mining Blvd., Suite 102, Tampa, FL 33634 | 2018-07-16 |
| Find all providers in TAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.