MRS. COLETTE MARIE ROSSI-LUEBKE (NPI# 1821349861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821349861 |
| Entity Type | Individual |
| Full Name | MRS. COLETTE MARIE ROSSI-LUEBKE |
| Practice Address |
4304 Tallwood Ave Rockford IL 61114-6053 |
| Practice Telephone | 8152823832 |
| Mailing Telephone | 8152823832 |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2012-10-01 |
| 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 |
| Street Address |
4304 TALLWOOD AVE |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61114-6053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366064560 | Caleb Ifeoluwa Oluwadamisi | Student in an Organized Health Care Education/Training Program | Mercy Health Javon Bea Hospital, 8201 East Riverside Boulevard, Rockford, IL 61114 | 2020-05-11 |
| 1811525959 | Seifeldin Eid | Student in an Organized Health Care Education/Training Program | Mercyhealthjavon Bea Hospital, 8201, East Riversideboulevard, IL 61114 | 2020-04-01 |
| 1073167664 | Swedishamerican Hospital | Internal Medicine | 3505 N Bell School Road, Rockford, IL 61114 | 2019-07-31 |
| 1154980076 | Anurag Gill | Student in an Organized Health Care Education/Training Program | 8201 East Riverside Boulevard, Mercy Health Javon Bea Hospital, Rockford, IL 61114 | 2019-06-13 |
| 1578121943 | Sona Najafi | Student in an Organized Health Care Education/Training Program | Mercyhealth Javon Bea Hospital, 8201 East Riverside Blvd, Rockford, IL 61114 | 2019-05-31 |
| 1760045744 | Julianna Jones | Counselor | 6653 Weaver Rd Ste 115, Rockford, IL 61114 | 2019-04-16 |
| 1952869943 | Angela Marie Hawkins | Nurse Practitioner | 8201 E. Riverside Blvd, Pediatric Neurology, Rockford, IL 61114 | 2019-03-08 |
| 1376029231 | Meghan Beth Teske | Chiropractor | 3779 N. Alpine Rd., Rockfod, IL 61114 | 2018-07-13 |
| 1811401284 | Summit Radiology, LLC | Clinic/Center | 3849 N. Perryville Road, Rockford, IL 61114 | 2017-11-21 |
| 1548704299 | Rockford Orthopedic Associates, Ltd | Durable Medical Equipment & Medical Supplies | 5929 E Riverside Blvd, Rockford, IL 61114 | 2016-12-15 |
| Find all providers in zip 61114 | ||||
| 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 |
|---|---|---|---|---|
| 1407417397 | Christine Criel | Developmental Therapist | 422 Vale Ave N, Rockford, IL 61107-4652 | 2019-06-22 |
| 1285194712 | Corneilia L Ervins | Developmental Therapist | 5225 Linden Rd Apt 7207, Rockford, IL 61109-6419 | 2019-03-21 |
| 1417461906 | Kaetlin Lindsey Romberg | Developmental Therapist | 6820 Madrone Dr, Rockford, MI 49341-9578 | 2017-11-21 |
| 1194172932 | Emily Dyson | Developmental Therapist | 3425 Oak Grove Ave, Rockford, IL 61108-1856 | 2016-05-23 |
| 1326492653 | Dawn Davis | Developmental Therapist | 2650 Springdale Dr, Rockford, IL 61114-6452 | 2016-04-23 |
| 1699132043 | Jennifer Anders | Developmental Therapist | 2140 Eggleston Rd, Rockford, IL 61108-7908 | 2016-01-15 |
| 1699193417 | Jennifer Jean Rossol | Developmental Therapist | 4019 Latham St, Rockford, IL 61103-1628 | 2014-03-29 |
| 1972734648 | Nancy A Hunt | Developmental Therapist | 1131 Griggs Rd, Rockford, IL 61108-4582 | 2009-07-29 |
| 1134359086 | Mary Elizabeth Hunter | Developmental Therapist | 6475 Weaver Rd, Rockford, IL 61114-8109 | 2009-07-24 |
| 1760629737 | Anne G. Herkert | Developmental Therapist | 802 Highview Ave, Rockford, IL 61107-3316 | 2009-01-13 |
| Find all providers in ROCKFORD | ||||
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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.