SAMUEL DAVIS (NPI# 1740576164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740576164 |
| Entity Type | Individual |
| Full Name | SAMUEL DAVIS |
| Practice Address |
1200 N Central Ave Ste 212 Kissimmee FL 34741-4440 |
| Mailing Address |
3327 Jujube Dr Orlando FL 32810-2980 |
| Practice Telephone | 4072598438 |
| Mailing Telephone | 4079279810 |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2011-06-23 |
| Gender Code | M |
| 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 |
|---|---|---|---|---|
| 1750748059 | Samuel Christian Davis | Specialist/Technologist | 1300 Cimarron Cirlce, 101, Fairborn, OH 45324-6205 | 2016-01-19 |
| 1710286711 | Samuel Clayton Davis | Pharmacist | 13353 Cleveland Ave Nw, Uniontown, OH 44685-8441 | 2011-03-16 |
| 1831339977 | Samuel Davis | Chiropractor | 185 Lake Dr, Lake Peekskill, NY 10537-1344 | 2009-03-03 |
| 1295911204 | Samuel C Davis Jr. | Counselor | 29086 Jordan Pond Dr, Albemarle, NC 28001-6419 | 2008-01-21 |
| 1497949192 | Samuel Edward Davis IIi | Adult Companion | 545 Ne 21st Ln, Apartment C, Gainesville, FL 32609-6713 | 2007-09-05 |
| 1851514046 | Samuel H Davis | Pediatrics | 604 E Bailey Boswell Rd Ste 140, Saginaw, TX 76131-3568 | 2007-04-10 |
| 1982631768 | Samuel P Davis IIi | Otolaryngology | 601 Keisler Dr Ste 200, Cary, NC 27518-6567 | 2006-06-27 |
| 1073592697 | Samuel Davis | Dentist | Randolph Road, Cowan Dental Clinic Bldg 605, Ft. Sill, OK 73503 | 2006-01-12 |
| 1205316965 | Samuel Anthony Davis Jr. | Technician/Technologist | 150 South Huntington Avenue, Jamaica Plain, MA 02130 | 2018-08-21 |
| 1407213705 | Samuel Kyle Davis | Counselor | 2470 Patterson Rd Ste 6office5, Grand Junction, CO 81505-1028 | 2016-01-19 |
| Street Address |
1200 N CENTRAL AVE STE 212 |
| City | KISSIMMEE |
| State | FL |
| Zip Code | 34741-4440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083239834 | Kathia I Torres Cintron | Occupational Therapy Assistant | 201 Park Place Blvd Kissimmee Fl 347, Kissimmee, FL 34741 | 2020-06-08 |
| 1992340046 | Zynia Spencer | Marriage & Family Therapist | 345 W. Oak St., Kissimmee, FL 34741 | 2019-11-13 |
| 1225597784 | Leila Rosado | Counselor | All Family, 120 Broadway Suite 204, Kissimmee, FL 34741 | 2019-03-14 |
| 1235610312 | Yashirah Castillo | Behavior Technician | 230 Country Blvd, Apt 6, Kissimmee, FL 34741 | 2018-08-27 |
| 1376021352 | Julio Cesar Castellanos | Nurse Practitioner | 1050 W Carroll St Apt 149, Kissimmee, FL 34741 | 2018-08-01 |
| 1245724715 | Sonia Teresa Rodriguez | Counselor | 3438 W. Vine Street, Kissimmee, FL 34741 | 2018-06-19 |
| 1700376316 | Jessica Mateo | Social Worker | 111 E Monument Ave Unit 412, Kissimmee, FL 34741 | 2018-05-18 |
| 1306340880 | George Gianakakos | Psychiatry & Neurology | 720 W. Oak St., Suite 360, Kissimmee, FL 34741 | 2018-03-20 |
| 1154825693 | Mary Catherine Slome | Student in an Organized Health Care Education/Training Program | 720 W. Oat Street, Ste. 201, Kissimmee, FL 34741 | 2018-03-20 |
| 1457855991 | Sherwin Zachariah Thomas | Student in an Organized Health Care Education/Training Program | 720 W. Oak St., Ste 201, Kissimmee, FL 34741 | 2018-03-20 |
| Find all providers in zip 34741 | ||||
| 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 |
|---|---|---|---|---|
| 1427609460 | Eliana Diaz | Developmental Therapist | 403 Short Dr, Kissimmee, FL 34759-4025 | 2019-09-20 |
| 1477910784 | Lismariel Esteves | Developmental Therapist | 2011 Piedmont Ln, Kissimmee, FL 34744-5938 | 2016-01-19 |
| 1154791697 | Sophia Rayam | Developmental Therapist | 1441 Fortune Retail Ct # 256, Kissimmee, FL 34744-3999 | 2015-09-27 |
| 1528486388 | Santa Medina | Developmental Therapist | 1219 George St, Kissimmee, FL 34741-3936 | 2014-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245830595 | Community Children's Therapy, Inc | Developmental Therapist | 12353 Natalies Cove Rd, Cooper City, FL 33330 | 2020-10-27 |
| 1437756327 | Tabrisha Ruy | Developmental Therapist | 10204 Douglas Oaks Cir Apt 304, Tampa, FL 33610-8646 | 2020-10-05 |
| 1316554116 | Carley Alexandra Scartz-nisbet | Developmental Therapist | 9437 Trumpet Vine Loop, Trinity, FL 34655-5366 | 2020-09-25 |
| 1992319909 | Kelly Todd | Developmental Therapist | 1408 Ariel Ln, Fort Walton Beach, FL 32547-1191 | 2020-09-07 |
| 1104436963 | Cassandra Hert | Developmental Therapist | 13738 Alesbury Ct, Jacksonville, FL 32224-2236 | 2020-08-06 |
| 1750991188 | Kimberley Nunez | Developmental Therapist | 362 Nw Stratford Ln, Port Saint Lucie, FL 34983-3432 | 2020-07-31 |
| 1821607441 | Nakeshia Woody | Developmental Therapist | 3209 E North Bay St, Tampa, FL 33610-6927 | 2020-07-29 |
| 1851900922 | Nathalia Brown | Developmental Therapist | 7911 Blairwood Cir S, Lake Worth, FL 33467-1809 | 2020-07-24 |
| 1053929752 | Jill Schnortz | Developmental Therapist | 484 Nw 232nd Ter, Newberry, FL 32669-2282 | 2020-07-20 |
| 1447868310 | Carleen Korkin | Developmental Therapist | 5004 Elpine Way, Palm Beach Gardens, FL 33418-7846 | 2020-07-16 |
| Find all providers with the same taxonomy | ||||
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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.