SHANNON PATRICE TIERNEY (NPI# 1730453713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730453713 |
| Entity Type | Individual |
| Full Name | SHANNON PATRICE TIERNEY |
| Credential | DT |
| Practice Address |
11104 Sandpiper Ct Spring Grove IL 60081-9629 |
| Practice Telephone | 8479126623 |
| Mailing Telephone | 8479126623 |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2012-03-08 |
| 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 |
|---|---|---|---|---|
| 1053933085 | Shannon Tierney | Counselor | 3600 Route 112, Coram, NY 11727-4116 | 2020-05-13 |
| 1861055980 | Shannon Marie Tierney | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2019-04-15 |
| 1003020660 | Shannon N Tierney | Surgery | 2275 Health Campus Dr, Rockingham, VA 22801-8809 | 2007-05-10 |
| Street Address |
11104 SANDPIPER CT |
| City | SPRING GROVE |
| State | IL |
| Zip Code | 60081-9629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497952618 | Quazi Mobile Imaging and Diagnostics | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 7102 Daily St, Spring Grove, IL 60081 | 2007-06-29 |
| 1083828370 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 2401 Route 12, Spring Grove, IL 60081 | 2007-05-09 |
| 1548389414 | Brian Rybicki | Dentist | 2450 Route 12, Spring Grove, IL 60081 | 2007-03-29 |
| 1740332592 | Spring Grove Medical Offices Ltd | Chiropractor | 2100 Route 12, Suite 101, Spring Grove, IL 60081 | 2007-01-18 |
| 1457457848 | Marie Claire Yvo Garduque | Physical Therapist | 1906 Holian Drive, Spring Grove, IL 60081 | 2006-09-15 |
| 1053429670 | Ralph Destephano | Chiropractor | 2100 N Us Hwy 12, Suite 101, Spring Grove, IL 60081 | 2006-08-25 |
| 1689289407 | Nadine Panagakis | Pharmacist | 2401 Route 12, Spring Grove, IL 60081 | 2020-09-09 |
| 1669652897 | Spring Grove Physical Therapy Ltd | Physical Therapist | 2100 Route 12, Suite101, Spring Grove, IL 60081 | 2007-11-05 |
| 1306970132 | Jenny Robbins | Physical Therapist | 2100 Route 12, Suite 101, Spring Grove, IL 60081 | 2007-03-15 |
| 1851443618 | Spring Grove Physical Medicine and Rehabilatation Ltd | Chiropractor | 2100 Route 12, Suite 101, Spring Grove, IL 60081 | 2007-01-18 |
| Find all providers in zip 60081 | ||||
| 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 |
|---|---|---|---|---|
| 1003413568 | Amy Rohan | Developmental Therapist | 17545 Mulberry Ave, Tinley Park, IL 60487-6163 | 2020-10-07 |
| 1992302954 | Vannetta C Thompson | Developmental Therapist | 2247 Gunderson Ave Apt 2, Berwyn, IL 60402-5147 | 2020-10-02 |
| 1477150506 | Quanita Crawford | Developmental Therapist | 3734 W Cortland St Apt 303, Chicago, IL 60647-7565 | 2020-10-01 |
| 1740897412 | Angela Perry | Developmental Therapist | 521 Eden Park Dr, Rantoul, IL 61866-1507 | 2020-09-28 |
| 1235746975 | Dominique Scott | Developmental Therapist | 5342 S Wells St, Chicago, IL 60609-6219 | 2020-09-27 |
| 1003429820 | Adrienne C Latronica | Developmental Therapist | 9865 Cordoba Ct Apt 2b, Orland Park, IL 60462-3190 | 2020-08-31 |
| 1669083424 | Lindsay Miner | Developmental Therapist | 2272 W Leland Ave # 1e, Chicago, IL 60625-2006 | 2020-08-13 |
| 1851901672 | Gretchen Susanne Biggerstaff | Developmental Therapist | 1706 S Hancock St, Mc Leansboro, IL 62859-1996 | 2020-08-06 |
| 1205446549 | Rene Yvonne Green | Developmental Therapist | 14425 E Blue Ridge Dr, Effingham, IL 62401-7168 | 2020-08-02 |
| 1306455357 | Noel Elizabeth Ryall | Developmental Therapist | 9123 Baldwin Dr, Machesney Park, IL 61115-1715 | 2020-07-27 |
| Find all providers with the same taxonomy | ||||
| City | SPRING GROVE |
| Zip Code | 60081 |
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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.