MARY L. WALTERS (NPI# 1649572058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649572058 |
| Entity Type | Individual |
| Full Name | MARY L. WALTERS |
| Practice Address |
211 W Lawrence Ave Effingham IL 62401-2630 |
| Practice Telephone | 2173471037 |
| Mailing Telephone | 2173471037 |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2010-11-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841805645 | Mary Kathryn Walters | Optometrist | 655 Taylor Street, Fort Worth, TX 76102-4821 | 2020-09-09 |
| 1831717016 | Mary Walters | Early Intervention Provider Agency | 5876 Mark Lebleu Rd, Lake Charles, LA 70615-4501 | 2020-07-14 |
| 1144490210 | Mary Alice Walters | Social Worker | 670 Highway Ninety Two, Boydton, VA 23917-2234 | 2008-03-05 |
| 1942498639 | Mary L Walters | Dietitian, Registered | 268 Kingswood Trl, Toledo, OH 43615-5445 | 2007-10-09 |
| 1659387678 | Mary A Walters | Chiropractor | 1174 Wyoming Ave, Forty Fort, PA 18704-4016 | 2006-07-31 |
| 1588642805 | Mary Ellen Walters | Social Worker | 8950 Villa La Jolla Dr Ste C112, La Jolla, CA 92037-1703 | 2006-01-06 |
| 1104435122 | Mary Walters | Counselor | 76 Vassar St, Worcester, MA 01602-1535 | 2020-07-27 |
| 1376169136 | Mary Colleen Walters | Licensed Practical Nurse | 380 S Portage Path, Akron, OH 44320-2326 | 2020-06-17 |
| 1477042802 | Mary Teresa Walters | Nurse Practitioner | 100 E Idaho St, Boise, ID 83712 | 2018-05-01 |
| 1922504109 | Mary Walters | Registered Nurse | 153 Hazard Ave, Enfield, CT 06082-4592 | 2018-04-05 |
| Street Address |
211 W LAWRENCE AVE |
| City | EFFINGHAM |
| State | IL |
| Zip Code | 62401-2630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568021269 | Rhodes To Health, LLC | Chiropractor | 200 E. Fayette Ave, Effingham, IL 62401 | 2019-06-07 |
| 1467951699 | Sarah Bush Lincoln Health Center | Durable Medical Equipment & Medical Supplies | 903 N Maple St, Effingham, IL 62401 | 2018-02-02 |
| 1033632187 | Diel Counseling Inc. | Counselor | 444 S. Willow #7, Effingham, IL 62401 | 2017-07-20 |
| 1770930968 | Community Support Systems | Intermediate Care Facility, Mentally Retarded | 2311 Veterans Drive, Effingham, IL 62401 | 2016-05-18 |
| 1194107102 | Radhika Annam | Internal Medicine | 500 N. Maple St., Joslin Diabetes Center Affiliate At Hshs Medical Group, Effingham, IL 62401 | 2015-06-25 |
| 1912334558 | Ruben Boyajian, Md | Surgery | 904 Medical Park Drive, Suite 2, Effingham, IL 62401 | 2013-09-27 |
| 1427483502 | Daniel E Czajkowski | Physical Therapist | 2611 S Banker St, Effingham, Il, Effingham, IL 62401 | 2013-09-09 |
| 1093140501 | Lifetime Dental Care of Maryland, Badger, P.C. | Dentist | 1200 Network Centre Drive, Suite #2, Effingham, IL 62401 | 2013-09-04 |
| 1689926487 | Wellness Loft Inc. | Counselor | 408 South 4th St., Effingham, IL 62401 | 2012-10-04 |
| 1598011470 | Patricia R. Diel | Social Worker | 444 S. Willow, Suite 7, Effingham, IL 62401 | 2012-07-30 |
| Find all providers in zip 62401 | ||||
| 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 |
|---|---|---|---|---|
| 1205446549 | Rene Yvonne Green | Developmental Therapist | 14425 E Blue Ridge Dr, Effingham, IL 62401-7168 | 2020-08-02 |
| 1457984460 | Carissa Welton Niemerg | Developmental Therapist | 14535 N Amber Ln, Effingham, IL 62401-4340 | 2020-02-18 |
| 1558837815 | Jennifer Lynn Carder | Developmental Therapist | 14189 E Dutch Ln, Effingham, IL 62401-5416 | 2018-10-15 |
| 1326434259 | Samantha Richter | Developmental Therapist | 303 W Cedar Ave, Effingham, IL 62401-2974 | 2015-04-07 |
| 1992103337 | Lisa Harris | Developmental Therapist | 6 S Lakewood Dr, Effingham, IL 62401-1847 | 2014-12-17 |
| 1467668491 | Julie Ann Poland | Developmental Therapist | 1017 Pelican, Effingham, IL 62401 | 2007-05-15 |
| 1356566822 | Jodi Jansen | Developmental Therapist | 701 E Evergreen Ave, Effingham, IL 62401-3144 | 2007-04-17 |
| 1114142395 | Barbara Utz | Developmental Therapist | 802 N Glenwood St, Effingham, IL 62401-3200 | 2007-04-14 |
| 1336260397 | Carol Jeanne Koester | Developmental Therapist | 7498 E 1200th Ave, Effingham, IL 62401-6628 | 2007-04-03 |
| 1578775730 | Bk Services | Developmental Therapist | 802 N Glenwood St, Effingham, IL 62401-3200 | 2007-05-03 |
| Find all providers in EFFINGHAM | ||||
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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.