COLLEEN SHAW (NPI# 1659763910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659763910 |
| Entity Type | Individual |
| Full Name | COLLEEN SHAW |
| Practice Address |
10111 N Canterbury Rd Philadelphia PA 19114-1113 |
| Practice Telephone | 2672308312 |
| Mailing Telephone | 2672308312 |
| Enumeration Date | 2015-02-24 |
| Last Update Date | 2015-02-24 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285126516 | Colleen E Shaw | Social Worker | 9 Frostbrook Ct, Greensboro, NC 27455-2801 | 2018-06-01 |
| 1376840587 | Colleen R. Shaw | Pediatrics | 916 Jackson Avenue, Sheridan, WY 82801 | 2011-02-24 |
| 1538290614 | Colleen Shaw | Physician Assistant | 400 N Perry St, Johnstown, NY 12095-1115 | 2007-03-08 |
| 1578826970 | Colleen O'hara Shaw | Nurse Practitioner | 4910 N Armenia Ave, Tampa, FL 33603-1402 | 2012-06-20 |
| 1760764161 | Colleen Crystal Shaw | Nurse Practitioner | 1495 W 5th Ave, Columbus, OH 43212-2403 | 2011-09-13 |
| Street Address |
10111 N CANTERBURY RD |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19114-1113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029906 | Phuoc Nguyen | Nurse Anesthetist, Certified Registered | Jefferson Torresdale Hospital, 10800 Knights Rd, Philadelphia, PA 19114 | 2020-10-05 |
| 1053921932 | Priyanka Patel | Dentist | Philadelphia Dental Smiles, 9140 Academy Road, Philadelphia, PA 19114 | 2020-08-05 |
| 1215419080 | Thomas Patrick Gallagher | Specialist/Technologist | 2708 Ruth Way, Philadelphia, PA 19114 | 2018-08-29 |
| 1558840223 | Alexis Wenger | Early Intervention Provider Agency | 3810 Aubrey Ave, Phila, PA 19114 | 2018-08-13 |
| 1245759232 | Newlands Health | Clinic/Center | 9625 Frankford Ave., Philadelphia, PA 19114 | 2017-09-12 |
| 1619491453 | Nazareth Physician Services Inc | Social Worker | 9815 Roosevelt Blvd Ste G, Philadelphia, PA 19114 | 2017-08-02 |
| 1326561606 | L.s. Share & Love Support Coordinating Agency, LLC | Case Management | 3600 Red Lion Road, Apt 68c, Philadelphia, PA 19114 | 2017-07-19 |
| 1760911952 | Charles C Richards II | Counselor | 2555 Welsh Rd, Apt 407, Philadelphia, PA 19114 | 2017-06-09 |
| 1801338686 | April Neuls | Physical Therapy Assistant | 4213 Lackland Place, Philadelphia, PA 19114 | 2016-11-10 |
| 1114317583 | Siji Cyriac | Physical Therapist | 9501 State Road, Philadelphia, PA 19114 | 2015-01-23 |
| Find all providers in zip 19114 | ||||
| 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 |
|---|---|---|---|---|
| 1457901753 | Sedavi Danh | Developmental Therapist | 1318 S 36th St, Philadelphia, PA 19146-3227 | 2019-09-18 |
| 1891130043 | Rana Walker | Developmental Therapist | 3000 W Master St, Apt. 310, Philadelphia, PA 19121-4427 | 2013-05-01 |
| 1134463417 | Hanadi Ali | Developmental Therapist | 7644 Fairfield St, Philadelphia, PA 19152-3942 | 2012-11-26 |
| 1417250689 | Daisy Seda | Developmental Therapist | 1421 Elbridge St, Philadelphia, PA 19149-2740 | 2010-12-09 |
| 1376844498 | Adrienne Shimp | Developmental Therapist | 620 Hoffnagle St, Philadelphia, PA 19111-1945 | 2010-11-04 |
| 1366653958 | Chong Lee | Developmental Therapist | 11980 Dumont Rd, Philadelphia, PA 19116-2321 | 2007-05-24 |
| 1720541501 | James O'neal | Developmental Therapist | 2275 Bridge St Bldg 5b132, Philadelphia, PA 19137-1300 | 2019-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305684 | Ashley Mccurry | Developmental Therapist | 5517 Baptist Rd, Pittsburgh, PA 15236-1632 | 2020-10-30 |
| 1811596513 | Catherine Mary Dusman | Developmental Therapist | 159 Jackson Dr, Chambersburg, PA 17201-8962 | 2020-10-22 |
| 1316575582 | Molly M Miske | Developmental Therapist | 3917 Warleigh Way, Mechanicsburg, PA 17050-5013 | 2020-03-31 |
| 1750916243 | Miranda Williams | Developmental Therapist | 2011 Deerfield Cmns, Shippensburg, PA 17257-8541 | 2020-03-05 |
| 1669004768 | Melinda Kaye Ostermann | Developmental Therapist | 2012 Hershey Rd, Erie, PA 16509-4514 | 2020-02-06 |
| 1497398986 | Deborah Marsilio | Developmental Therapist | 364 Lake Meade Dr, East Berlin, PA 17316-9369 | 2019-10-28 |
| 1104471903 | Ashley Yeager | Developmental Therapist | 6343 Locust Ln, Mechanicsburg, PA 17050-1974 | 2019-08-08 |
| 1326692500 | Bridget Scott-doyle | Developmental Therapist | 23 Wyomissing Hills Blvd, Reading, PA 19609-1773 | 2019-07-26 |
| 1023679420 | Kaitlyn Marie Day | Developmental Therapist | 104 Oaken Way, Myerstown, PA 17067-3317 | 2019-06-26 |
| 1578124335 | Erica L Walters | Developmental Therapist | 307 Pleasant View Ave, Willow Street, PA 17584-9704 | 2019-06-24 |
| Find all providers with the same taxonomy | ||||
| City | PHILADELPHIA |
| Zip Code | 19114 |
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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.