THERAPY FOR DEVELOPMENTAL DISABILITIES (NPI# 1639484314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639484314 |
| Entity Type | Organization |
| Organization Name | THERAPY FOR DEVELOPMENTAL DISABILITIES |
| Practice Address |
4542 E Inverness Ave Suite 210 Mesa AZ 85206-4619 |
| Practice Telephone | 4809266309 |
| Practice Fax Number | 4809261365 |
| Mailing Telephone | 4809266309 |
| Mailing Fax Number | 4809261365 |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2011-05-13 |
| Authorized Official Name | MRS. KRISTIN MANCUSO (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4809266309 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4542 E INVERNESS AVE SUITE 210 |
| City | MESA |
| State | AZ |
| Zip Code | 85206-4619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538211420 | Therapy for Developmental Disabilities, LLC | Occupational Therapist | 4542 E Inverness Ave, Suite 210, Mesa, AZ 85206-4619 | 2007-01-18 |
| 1639793532 | Nicole Baldauf | Speech-Language Pathologist | 4542 E Inverness Ave, Mesa, AZ 85206-4619 | 2020-06-05 |
| 1801278817 | Amy Lougher | Speech-Language Pathologist | 4542 E Inverness Ave, Mesa, AZ 85206-4619 | 2015-06-25 |
| 1730579178 | Alexa Benson | Contractor | 4542 E Inverness Ave, Suite C-3, Mesa, AZ 85206 | 2015-01-23 |
| 1326445156 | Emmah Njoki | Physical Therapist | 4542 E Inverness Ave, Mesa, AZ 85206-4619 | 2014-11-21 |
| 1184974644 | Melissa Parry | Speech-Language Pathologist | 4542 E Inverness Ave, Mesa, AZ 85206-4619 | 2012-09-12 |
| 1629340583 | Candice Stewart | Specialist/Technologist | 4542 E Inverness Ave, Mesa, AZ 85206-4619 | 2012-02-07 |
| 1851505168 | Sarah Stoll | Occupational Therapist | 4542 E Inverness Ave, Mesa, AZ 85206-4619 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
| 1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
| 1023651288 | Jason Mcclure | Hearing Instrument Specialist | 5540 E Broadway Rd., Mesa, AZ 85206 | 2019-10-21 |
| 1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
| 1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
| 1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
| 1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
| 1033605159 | Rebecca Ann Maro | Nurse Practitioner | 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 | 2018-07-02 |
| 1982195624 | Spark Performance and Physiotherapy | Clinic/Center | 6056 East Basline Road, Suite 147, Mesa, AZ 85206 | 2018-05-29 |
| 1336645993 | Ashley Wright | Audiologist-Hearing Aid Fitter | 1423 S Higley Rd Ste 119, Mesa, AZ 85206 | 2018-04-03 |
| Find all providers in zip 85206 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245495829 | Kathleen Milner | Physical Therapist | 4554 E Inverness Ave Ste C-1, Mesa, AZ 85206-4639 | 2008-07-23 |
| 1245436468 | Mandy Marie Gandhi | Physical Therapist | 4554 E Inverness Ave Ste C1, Mesa, AZ 85206-4639 | 2007-06-25 |
| 1497968820 | Kristin Hix | Physical Therapist | 952 E. Baseline Rd., Suite A106, Mesa, AZ 85204 | 2007-05-08 |
| 1568583060 | Jennifer Lynne Weil | Physical Therapist | 11229 E Renfield Ave, Mesa, AZ 85212-4158 | 2007-04-02 |
| 1508929316 | Jessica Basha | Physical Therapist | 3403 E Main St # 208, Mesa, AZ 85213-8683 | 2006-12-19 |
| 1124194675 | Linda S Beckman | Physical Therapist | 1522 E Granada Cir, Mesa, AZ 85203-4420 | 2006-11-27 |
| 1508931569 | Fiesta Pediatric Therapy | Physical Therapist | 930 W Southern Ave, Suite 10, Mesa, AZ 85210-4938 | 2006-11-22 |
| 1467800128 | Stephanie Van De Water | Physical Therapist | 844 N Ellsworth Rd, Mesa, AZ 85207-5114 | 2016-06-02 |
| 1942660618 | S.e.e.k. Arizona, LLC | Physical Therapist | 1830 S Alma School Rd, Suite 130, Mesa, AZ 85210 | 2016-02-24 |
| 1326445156 | Emmah Njoki | Physical Therapist | 4542 E Inverness Ave, Mesa, AZ 85206-4619 | 2014-11-21 |
| Find all providers in MESA | ||||
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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.