CONNOR W ENNIS (NPI# 1710236831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710236831 |
| Entity Type | Individual |
| Full Name | CONNOR W ENNIS |
| Practice Address |
1409 Nw 6th St Suite 120 Gainesville FL 32601-2234 |
| Practice Telephone | 3523734411 |
| Practice Fax Number | 3523734455 |
| Mailing Telephone | 3523734411 |
| Mailing Fax Number | 3523734455 |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2012-09-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1409 NW 6TH ST SUITE 120 |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32601-2234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225356132 | Paul Campbell | Counselor | 1409 Nw 6th St, Suite 220, Gainesville, FL 32601-2234 | 2010-05-17 |
| 1477892149 | Allen Finney | Developmental Therapist | 1409 Nw 6th St, 120, Gainesville, FL 32601-2234 | 2013-01-31 |
| 1427302058 | Kristen Jordan | Developmental Therapist | 1409 Nw 6th St, Suite 120, Gainesville, FL 32601-2234 | 2012-11-05 |
| 1447501523 | Leanne Patrice Levinson | Developmental Therapist | 1409 Nw 6th St, Suite 120, Gainesville, FL 32601-2234 | 2012-09-28 |
| 1235489188 | Alexis Hinchey | Developmental Therapist | 1409 Nw 6th St, Suite 120, Gainesville, FL 32601-2234 | 2012-09-18 |
| 1215218953 | Diamond Lott | Speech-Language Pathologist | 1409 Nw 6th St, Suite 120, Gainesville, FL 32601-2234 | 2011-09-08 |
| 1922390434 | Taylor Ruth Wahila | Developmental Therapist | 1409 Nw 6th St, Ste. 120, Gainesville, FL 32601-2234 | 2011-05-03 |
| 1700178282 | Noel Danielle Flores | Behavioral Analyst | 1409 Nw 6th St, Ste 120, Gainesville, FL 32601-2234 | 2011-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316584675 | Gainesville Peer Respite, Inc. | Peer Specialist | 728 E. University Avenue, Gainesville, FL 32601 | 2019-12-05 |
| 1376008375 | Three Treasures Holistic Care, LLC | Counselor | 2727 B Nw 43rd St, Suite B, Gainesville, FL 32601 | 2019-02-04 |
| 1376060301 | Healing Elements Integrative Acupuncture LLC | Acupuncturist | 305 Se 2cd Ave, Gainesville, FL 32601 | 2017-08-30 |
| 1477078327 | Lisa Anderson | Acupuncturist | 1000 Ne 16th Ave Bldg I Suite A, Gainesville, FL 32601 | 2017-08-11 |
| 1336590892 | Cheryl Fraley | Counselor | 1408 Nw 6th Street, Gainesville, FL 32601 | 2016-06-27 |
| 1710357363 | Erika Chase | Acupuncturist | 305 Se 2cd Avenue, Gainesville, FL 32601 | 2015-09-25 |
| 1811300148 | Stephanie Adamczak | Student in an Organized Health Care Education/Training Program | 1149 South Newell Drive, Gainesville, FL 32601 | 2014-06-04 |
| 1477979441 | Mary Santello | Mechanotherapist | 115 Ne 6th Terrace, Suite 205, Gainesville, FL 32601 | 2014-03-13 |
| 1740628957 | Caitlyn Kloss | Specialist | 900 Nw 8th Avenue, Gainesville, FL 32601 | 2013-06-10 |
| 1992054886 | Anthony Lorne Johnson | Massage Therapist | 1330 Nw 6th St Suite A, Gainesville, FL 32601 | 2012-09-06 |
| Find all providers in zip 32601 | ||||
| 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 |
| 1629570882 | Jackie Wisor | Developmental Therapist | 1609 Sw 66th Dr, Gainesville, FL 32607-5363 | 2018-03-05 |
| 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 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32601 |
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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.