WENDY LEA BRADSHAW (NPI# 1669656120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669656120 |
| Entity Type | Individual |
| Full Name | WENDY LEA BRADSHAW |
| Practice Address |
6258 Forestwood Dr E Lakeland FL 33811-2401 |
| Practice Telephone | 8636404480 |
| Mailing Telephone | 8636404480 |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2007-12-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | 921470 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881120525 | Wendy Bradshaw | Counselor | 921 14th Ave, Longview, WA 98632 | 2017-05-01 |
| Street Address |
6258 FORESTWOOD DR E |
| City | LAKELAND |
| State | FL |
| Zip Code | 33811-2401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487856381 | Kimberly Ann Lesnick | Speech-Language Pathologist | 6258 Forestwood Dr E, Lakeland, FL 33811-2401 | 2007-06-03 |
| 1578747069 | Milestones Early Intervention, LLC | Early Intervention Provider Agency | 6258 Forestwood Dr E, Lakeland, FL 33811-2401 | 2007-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910200 | Darielle Shanette Berrian | Assisted Living Facility | 1548 Georgetown Dr, Lakeland, FL 33811 | 2020-07-23 |
| 1760991012 | Gregory Clark | Driver | 1091 Old South Dr, Lakeland, FL 33811 | 2017-09-28 |
| 1356870703 | Jeanette Michelle Edmonds | Psychologist | 4231 S. Pipkin Rd., Building 2 - Mental Health/behavioral Sciences, Lakeland, FL 33811 | 2017-06-08 |
| 1932353406 | Monique L Lisowski | Dietitian, Registered | 4231 South Pipkin Road, Lakeland, FL 33811 | 2008-11-11 |
| 1306987029 | Lifesavers Home Respiratory, Inc. | Durable Medical Equipment & Medical Supplies | 2525 Drane Field Rd, Suite 14, Lakeland, FL 33811 | 2007-02-08 |
| 1518010305 | Kirk Randall Smith | Nurse Practitioner | 1475 Airport Road, Lakeland, FL 33811 | 2007-01-18 |
| 1578568176 | Southeastern Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 3615 Century Blvd, Unit #1, Lakeland, FL 33811 | 2005-06-20 |
| 1225279318 | Affordable Transport Inc. | Non-emergency Medical Transport (VAN) | 3706 Dmg Dr, Lakeland, FL 33811-1043 | 2009-03-18 |
| 1457747875 | Candace Borders | Physical Therapy Assistant | 3225 Thoroughbred Loop N, Lakeland, FL 33811-1078 | 2015-04-13 |
| 1962849729 | Angelica Monteverde | Counselor | 3121 Filly Ln, Lakeland, FL 33811-1080 | 2013-06-03 |
| Find all providers in zip 33811 | ||||
| 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 |
|---|---|---|---|---|
| 1255953873 | Maria Inez Sanchez | Developmental Therapist | 6919 Eagle Ridge Blvd, Lakeland, FL 33813-5676 | 2020-05-18 |
| 1215310396 | Yalixis Duarte | Developmental Therapist | 1836 N Crystal Lake Dr Apt 43, Lakeland, FL 33801-6587 | 2015-07-07 |
| 1265877716 | Cameron Cooke Trentham | Developmental Therapist | 2848 Meridian Point Ln, Lakeland, FL 33812-5829 | 2013-05-09 |
| 1922367598 | Deborah Freeman Jones | Developmental Therapist | 913 Quincy St Apt 202, Lakeland, FL 33815-1341 | 2012-05-16 |
| 1659546398 | Courtney N Lewis | Developmental Therapist | 529 Northride Trl, Lakeland, FL 33813-1561 | 2008-04-24 |
| 1437360054 | Beth Ingram & Associates, Inc. | Developmental Therapist | 1818 Harden Blvd, Suite 160, Lakeland, FL 33803-1812 | 2007-05-25 |
| 1891915674 | Yessenia De La Luz Gonzalez | Developmental Therapist | 1706 Turtle Rock Dr, Lakeland, FL 33803-4267 | 2007-04-26 |
| 1396868444 | Deva Simmons | Developmental Therapist | 2800 Lakeland Hills Blvd, #91084, Lakeland, FL 33804 | 2007-04-06 |
| 1992118780 | Katherine Freeman | Developmental Therapist | 145 E Edgewood Dr, Lakeland, FL 33803-4014 | 2014-06-09 |
| 1083043285 | Rosine Fowlin | Developmental Therapist | 145 E Edgewood Dr, Lakeland, FL 33803-4014 | 2013-11-07 |
| Find all providers in LAKELAND | ||||
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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.