EVYN BRUMBACK (NPI# 1780107417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780107417 |
| Entity Type | Individual |
| Full Name | EVYN BRUMBACK |
| Other Name | EVYN TAYLOR KEMPER |
| Practice Address |
1471 Twilight Trl Ste A Frankfort KY 40601 |
| Mailing Address |
1471 Twilight Trl Ste A Frankfort KY 40601-8497 |
| Practice Telephone | (502) 320-3128 |
| Mailing Telephone | 0677761450 |
| Mailing Fax Number | 5023522967 |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2018-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1471 TWILIGHT TRL STE A |
| City | FRANKFORT |
| State | KY |
| Zip Code | 40601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275845364 | Elizabeth Van Kersen Franzini | Speech-Language Pathologist | 1471 Twilight Trl Ste A, Frankfort, KY 40601-8497 | 2010-07-06 |
| 1902439318 | Andrea Fast | Speech-Language Pathologist | 1471 Twilight Trl Ste A, Frankfort, KY 40601-8497 | 2020-02-14 |
| 1851855324 | Jessica Potter | Speech-Language Pathologist | 1471 Twilight Trl Ste A, Frankfort, KY 40601-8497 | 2019-01-29 |
| 1912490111 | Melissa Jones | Occupational Therapist | 1471 Twilight Trl Ste A, Frankfort, KY 40601-8497 | 2018-06-12 |
| 1881181899 | Amanda Haynes Dobey | Speech-Language Pathologist | 1471 Twilight Trl Ste A, Frankfort, KY 40601-8497 | 2018-04-16 |
| 1861838419 | Bluegrass Therapy Group, LLC | Behavioral Analyst | 1471 Twilight Trl Ste A, Frankfort, KY 40601-8497 | 2013-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568082410 | David Health Solutions | Nurse Practitioner | 796 Ninevah Rd, Frankfort, KY 40601 | 2020-04-21 |
| 1013549146 | Shawna Wallen | Pharmacist | 300 Brighton Park Blvd, Frankfort, KY 40601 | 2020-02-06 |
| 1629609417 | Suzannah Cartinhour Shouse | Pharmacist | 300 Brighton Park Blvd., Frankfort, KY 40601 | 2020-01-30 |
| 1942848460 | Prana Wellness | Occupational Therapist | 220 Conway Street, Frankfort, KY 40601 | 2019-12-16 |
| 1194288910 | Katherine Bates | Art Therapist | 2225 Lawrenceburg Road, Building A Suite 1, Frankfort, KY 40601 | 2019-04-09 |
| 1912476862 | Jennifer Suzann Robinson | Health Educator | 851 East-west Connector, Frankfort, KY 40601 | 2018-11-21 |
| 1649758541 | Parker Reynolds | Physical Therapist | 111 Westridge Drive, Suite E-f, Frankfort, KY 40601 | 2018-08-02 |
| 1376034397 | Bethany Ann Burton | Dentist | 1006 Leawood Dr Ste 200, Frankfort, KY 40601 | 2018-05-24 |
| 1174046106 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1303 Us Highway 127 S Ste 106, Frankfort, KY 40601 | 2017-07-21 |
| 1619498136 | Linda Carol Langley | Physical Therapist | 108 Diagnostic Dr., Suite C, Frankfort, KY 40601 | 2017-07-06 |
| Find all providers in zip 40601 | ||||
| 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 |
|---|---|---|---|---|
| 1376198168 | Jenni Marie Jajkowski | Developmental Therapist | 21503 Morning Dove Ln, Frankfort, IL 60423-2263 | 2019-08-07 |
| 1477106284 | Magdalena Borzecka | Developmental Therapist | 510 Meadow Ave, Frankfort, IL 60423-1132 | 2019-07-20 |
| 1912405127 | Tara Halicki | Developmental Therapist | 212 N Locust St, Frankfort, IL 60423-1263 | 2018-01-23 |
| 1982133872 | Sheri Bianchini | Developmental Therapist | 7742 Jamison Dr, Frankfort, IL 60423-8156 | 2017-06-05 |
| 1730616780 | Megan Haddad | Developmental Therapist | 7458 W Lakeside Dr, Frankfort, IL 60423-8659 | 2017-05-20 |
| 1902331796 | Amber Vorderer | Developmental Therapist | 7503 W Haystack Dr, Frankfort, IL 60423-8262 | 2017-04-29 |
| 1396151320 | Christine Dragoo | Developmental Therapist | 29 Old Frankfort Way, Unit 205, Frankfort, IL 60423-1723 | 2014-07-10 |
| 1154754091 | Sandra Kelly Smith | Developmental Therapist | 8057 W Duane Dr, Frankfort, IL 60423-8102 | 2013-08-14 |
| 1992084826 | Petula Ethel Dobbs | Developmental Therapist | 275 E Main Street Hs2w C, Frankfort, KY 40621-0001 | 2011-08-09 |
| 1043549785 | Kelly C Rosner | Developmental Therapist | 20331 S Green Meadow Ln, Frankfort, IL 60423-8731 | 2009-12-08 |
| Find all providers in FRANKFORT | ||||
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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.