OLLIE H CLEMENTS (NPI# 1972714111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972714111 |
| Entity Type | Individual |
| Full Name | OLLIE H CLEMENTS |
| Credential | DT |
| Practice Address |
287 Claridge Cir Bolingbrook IL 60440-6184 |
| Mailing Address |
9956 S Lafayette Ave Chicago IL 60628-1340 |
| Practice Telephone | 6307596673 |
| Mailing Telephone | 7739813761 |
| Enumeration Date | 2007-05-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
287 CLARIDGE CIR |
| City | BOLINGBROOK |
| State | IL |
| Zip Code | 60440-6184 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851594352 | Tanzie Cage | Developmental Therapist | 287 Claridge Cir, Bolingbrook, IL 60440-6184 | 2007-06-11 |
| 1598976730 | Rachel E Horn | Developmental Therapist | 287 Claridge Cir, Bolingbrook, IL 60440-6184 | 2007-05-26 |
| 1316158553 | Colleen A Maloney | Developmental Therapist | 287 Claridge Cir, Bolingbrook, IL 60440-6184 | 2007-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275141251 | Derick Dermatology, LLC | Dermatology | 239 Remington Boulevard, Suite 225, Bolingbrook, IL 60440 | 2020-07-16 |
| 1851949150 | Rachel Nicole Weis | Student in an Organized Health Care Education/Training Program | 777 Falconridge Way, Bolingbrook, IL 60440 | 2019-08-29 |
| 1578072815 | Onna Ford-kendrick | Nurse Practitioner | 151 E. Briarcliff Rd, -, Bolingbrook, IL 60440 | 2017-09-28 |
| 1891245213 | Megan Lotarski | Specialist/Technologist | 6 Copper Ct, Bolingbrook, IL 60440 | 2016-10-10 |
| 1144775800 | Mitchell Quill | Chiropractor | 550 E Boughton Rd Ste 150, Bolingbrook, IL 60440 | 2016-08-23 |
| 1477914125 | Alessia L. Elerby | Specialist | 128 S Cass Ave, Westmont, IL 60440 | 2016-03-09 |
| 1982073821 | Melissa Perkins | Counselor | 511 Preston Drive, Bolingbrook, IL 60440 | 2015-09-22 |
| 1821467754 | Advanced Patient Care, LLC. | Pharmacy | 335-337 Remington Blvd., Bolingbrook, IL 60440 | 2015-09-22 |
| 1770998262 | Adventist Bolingbrook Hospital | Internal Medicine | 420 S Schmidt, Ste 230, Bolingbrook, IL 60440 | 2014-06-24 |
| 1467864512 | Alice II Salons | Specialist | 311 Quadr,., Bolingbrook, IL 60440 | 2014-05-23 |
| Find all providers in zip 60440 | ||||
| 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 |
|---|---|---|---|---|
| 1538787205 | Taylor Loren Beard | Developmental Therapist | 831 Bellflower Ln, Bolingbrook, IL 60440-3487 | 2020-07-09 |
| 1639676687 | Jamie Lynn Wiatrak | Developmental Therapist | 2166 Muirfield Trl, Bolingbrook, IL 60490-4911 | 2018-04-06 |
| 1790216265 | Jennifer Duncan | Developmental Therapist | 644 N Pinecrest Rd, Bolingbrook, IL 60440-1264 | 2017-03-25 |
| 1679943567 | Kara Rees | Developmental Therapist | 120 S Vincent Dr, Bolingbrook, IL 60490-5585 | 2015-10-05 |
| 1154747319 | Vivian Jamison | Developmental Therapist | 1740 Red Bud Rd, Bolingbrook, IL 60490-6534 | 2014-03-12 |
| 1104199025 | Cheryl Lynn Ludwig | Developmental Therapist | 667 Maple Trl, Bolingbrook, IL 60490-5407 | 2012-02-23 |
| 1497023824 | Andiopi Kapidis | Developmental Therapist | 269 Mallard Lndg, Bolingbrook, IL 60440-3066 | 2011-12-13 |
| 1134427263 | Stacy Kathleen Hillenburg | Developmental Therapist | 11 Lily Ct, Bolingbrook, IL 60440-3263 | 2011-03-15 |
| 1780905919 | Christine Ashley Poggensee | Developmental Therapist | 4 Maroon Bells Ct, Bolingbrook, IL 60490-6514 | 2010-06-22 |
| 1073836045 | Shunta M Milam | Developmental Therapist | 201 Cheshire Ct, Bolingbrook, IL 60440-2033 | 2010-03-05 |
| Find all providers in BOLINGBROOK | ||||
| City | BOLINGBROOK |
| Zip Code | 60440 |
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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.