MS. KELLY A. CARLSON (NPI# 1801069786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801069786 |
| Entity Type | Individual |
| Full Name | MS. KELLY A. CARLSON |
| Credential | D.T. |
| Practice Address |
1131 Maple Ln Batavia IL 60510-1185 |
| Practice Telephone | 6308796231 |
| Mailing Telephone | 6308796231 |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2008-04-10 |
| 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 |
|---|---|---|---|---|
| 1902304777 | Kelly R Carlson | Physical Therapist | 3365 Central Park Village Dr # 100, Eagan, MN 55121-7707 | 2018-01-26 |
| 1154661783 | Kelly Marie Carlson | Pharmacy Technician | 30 Cold Springs Road, Rockyhill, CT 06067 | 2013-02-19 |
| 1538424601 | Kelly Carlson | Internal Medicine | 7447 W Talcott Ave Ste 200, Chicago, IL 60631-3713 | 2012-07-05 |
| 1780985507 | Kelly E Carlson | Social Worker | 468 W 153rd St, 2b, New York, NY 10031-1117 | 2010-11-10 |
| 1215582283 | Kelly Marie Carlson | Speech-Language Pathologist | 100 3rd Ave S, Carrington, ND 58421-2263 | 2019-08-07 |
| 1285187542 | Kelly Carlson | Nurse Practitioner | 24 Compton Rd Ste 205, Cincinnati, OH 45216-1036 | 2016-08-03 |
| 1720326408 | Kelly L Carlson | Counselor | 5500 Military Trl, #22-106, Jupiter, FL 33458-2869 | 2013-01-30 |
| 1548402654 | Kelly A. Carlson | Nurse Practitioner | 2347 Jones Bend Rd, Peninsula Hospital, Louisville, TN 37777-5213 | 2009-04-03 |
| 1952432288 | Kelly Jo Carlson | Specialist/Technologist | 27650 Ferry Rd, Warrenville, IL 60555-3845 | 2007-03-08 |
| 1083749964 | Kelly Carlson | Speech-Language Pathologist | 2795 Pilot Knob Rd, Suite 100, Eagan, MN 55121-1119 | 2007-02-22 |
| Street Address |
1131 MAPLE LN |
| City | BATAVIA |
| State | IL |
| Zip Code | 60510-1185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326523101 | Maria Witte | Specialist/Technologist | 1316 Cherry Dr, Batavia, IL 60510 | 2018-09-27 |
| 1740768902 | Anna Cannone | Speech-Language Pathologist | 1501 S Raddant Rd, Batavia, IL 60510 | 2018-07-31 |
| 1770071565 | Amber August-gilio | Registered Nurse | 1116 Schiedler Dr., Batavia, IL 60510 | 2018-04-26 |
| 1356865323 | Emily Shiffler | Specialist/Technologist | 1345 Clybourne St, Batavia, IL 60510 | 2017-08-01 |
| 1720537657 | Go Kid Go Therapy Services, LLC | Physical Therapist | 131 Flinn Street, Suite A, Batavia, IL 60510 | 2016-10-04 |
| 1992122337 | Pacer Dental P.C. | Clinic/Center | 853 North Randall Road, Batavia, IL 60510 | 2014-03-24 |
| 1396176988 | Jody Marie Kanikula | Social Worker | 439 Elizabeth St, Batavia, IL 60510 | 2013-12-06 |
| 1295087765 | Therese Marie White | Social Worker | 37 W 950 Heaton Drive, Batavia, IL 60510 | 2012-10-09 |
| 1619252491 | Debra Joy Herron | Massage Therapist | 462 Manchester Ave., Batavia, IL 60510 | 2011-10-12 |
| 1861780363 | Mary Lather | Speech-Language Pathologist | 1260 Averill Dr, Batavia, IL 60510 | 2011-07-18 |
| Find all providers in zip 60510 | ||||
| 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 |
|---|---|---|---|---|
| 1003384421 | Crystal Jones Anderson | Developmental Therapist | 1126 Sara Ct, Batavia, IL 60510-4594 | 2018-11-02 |
| 1760809131 | Michelle Lynn Dietz | Developmental Therapist | 1226 Schiedler Dr, Batavia, IL 60510-8617 | 2014-03-24 |
| 1760826812 | Phyllis E Cirella | Developmental Therapist | 2574 Spring Green Way, Batavia, IL 60510-8904 | 2013-04-19 |
| 1891937728 | Kim Freedlund | Developmental Therapist | 529 Maple Ln, Batavia, IL 60510-1207 | 2009-03-24 |
| 1407013469 | Mary Christine Masus | Developmental Therapist | 1175 Kinne Circle, Batavia, IL 60510-4556 | 2008-05-19 |
| 1851412662 | Sandra J Holm | Developmental Therapist | 61 Willey Ln, Batavia, IL 60510-7620 | 2007-04-02 |
| 1679904239 | Sara Salinas | Developmental Therapist | 608 Main St, Batavia, IL 60510-2433 | 2013-12-09 |
| 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 | ||||
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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.