JACKIE WISOR (NPI# 1629570882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629570882 |
| Entity Type | Individual |
| Full Name | JACKIE WISOR |
| Practice Address |
1609 Sw 66th Dr Gainesville FL 32607-5363 |
| Practice Telephone | 7273656674 |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2019-06-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1609 SW 66TH DR |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32607-5363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790335917 | Jennifer Jay | Behavioral Analyst | 4020 Sw 21st Rd, Gainesville, FL 32607 | 2019-09-19 |
| 1184186942 | The Birth Center At Cwh | Clinic/Center | 4454 Nw 6th Place, Gainesville, FL 32607 | 2019-04-02 |
| 1356823371 | Wendy Gibbs | Marriage & Family Therapist | 200 Nw 75th Drive, Suite B, Gainesville, FL 32607 | 2018-09-06 |
| 1104314368 | Meghan Bowser | Student in an Organized Health Care Education/Training Program | Academic Health Center Room 408, 1600 Sw Archer Road, Gainesville, FL 32607 | 2018-04-24 |
| 1942707328 | Anne Marie Littell | Student in an Organized Health Care Education/Training Program | 1707 N. Main Street, Gainesville, FL 32607 | 2018-04-11 |
| 1609378173 | Jeremy Markoski | Behavior Technician | 2035 Sw 75th St Suite B, Gainesville, FL 32607 | 2018-03-01 |
| 1013428085 | Adaric Kelly | Student in an Organized Health Care Education/Training Program | 502 Sw 34th St Apt 8, Gainesville, FL 32607 | 2017-10-18 |
| 1215454830 | Whitney Kristine Schaff | Dentist | 6110 Nw 1st Pl, Gainesville, FL 32607 | 2017-08-24 |
| 1316476674 | Jason Amadio | Specialist/Technologist | 1000 Sw 62nd Blvd, Gainesville, FL 32607 | 2017-06-08 |
| 1245784552 | Traci Pettigrew | Acupuncturist | 4001 Newberry Rd A3, Gainesville, FL 32607 | 2016-08-04 |
| Find all providers in zip 32607 | ||||
| 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 |
|---|---|---|---|---|
| 1619593266 | Mariah Hughes | Developmental Therapist | 6441 Nw 39th Ter, Gainesville, FL 32653-8375 | 2020-06-19 |
| 1043864440 | Lindsey Perry | Developmental Therapist | 531 Nw 57th St, Gainesville, FL 32607-2199 | 2019-07-25 |
| 1215589411 | Kimberley Gallet De St. Aurin | Developmental Therapist | 2817 Nw 41st Pl, Gainesville, FL 32605-1543 | 2019-07-09 |
| 1336644186 | Kahlie Meara Keim | Developmental Therapist | 4415 Nw 41st Pl, Gainesville, FL 32606-4515 | 2018-03-26 |
| 1902305766 | Stephanie Alexandrea Romelus | Developmental Therapist | 7180 Sw 4th Rd Unit 102, Gainesville, FL 32607-6805 | 2018-02-07 |
| 1972016046 | Sarah Beth Rockwell | Developmental Therapist | 7022 Nw 92nd Pl, Gainesville, FL 32653-7843 | 2017-11-13 |
| 1285973966 | Amanda Banister Rone | Developmental Therapist | 4310 Nw 25th Ter, Gainesville, FL 32605-1631 | 2013-01-31 |
| 1083968184 | Jaime Lyn Mcmillan | Developmental Therapist | 9018 Sw 100th Ter, Gainesville, FL 32608-5963 | 2012-10-29 |
| 1205194065 | Khadija Marie Camps | Developmental Therapist | 4015 Nw 35th St, Gainesville, FL 32605-5409 | 2012-04-30 |
| 1578855052 | Chelsea Wells | Developmental Therapist | 1409 Nw 6th St Ste 120, Gainesville, FL 32601-2234 | 2011-05-03 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32607 |
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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.