Developmental Therapist

Address: 425 W Surf St Apt 315, Chicago, IL 60657-6127

NICOLE CORREA (NPI# 1558950840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558950840
Entity Type Individual
Gender Female
Practice Address 425 W Surf St Apt 315
IL 60657-6127
Practice Telephone 4405528640
Mailing Address 425 W Surf St Apt 315
IL 60657-6127
Mailing Telephone 4405528640
Certification Date 2021-01-12
Enumeration Date 2021-01-12
Last Update Date 2021-01-12
Is Sole Proprietor Y


Primary Taxonomy Code Classification Taxonomy Group License Number License State Taxonomy Group
Y 222Q00000X Developmental Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 425 W SURF ST APT 315
State IL
Zip Code 60657-6127

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720681612 Hannah Horner Counselor · Mental Health 425 W Surf St Apt 403, Chicago, IL 60657-6127 2020-11-21

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NPI Name Taxonomy Address Enumeration
1992303887 Simone Paes Behavior Technician 3141 N Sheffield Ave, Chicago, IL 60657 2020-10-13
1821613175 Samridhi Khatri Internal Medicine 836 W. Wellington Ave, Advocate Illinois Masonic Medica, Suite 1312, Chigaco, IL 60657 2020-06-12
1467074617 Dewolfe Aesthetic Services Sc Surgery · Plastic and Reconstructive Surgery 3357 N. Southport Aveune, Chicago, IL 60657 2020-05-11
1790304657 Mehr Amer Mjeed Student in an Organized Health Care Education/Training Program Advocate Internal Medicine Clinic, Advocate Illinois Ma, 836 West Wellington Avenue, Chicago, IL 60657 2020-04-10
1457997561 Jasleen Mohini Singh Physician Assistant · Medical 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 2019-11-24
1306493408 Art of Sight Eyecare, LLC Optometrist 2915 N. Broadway, Chicago, IL 60657 2019-08-22
1992359277 Joseph Michael Rochford IIi Counselor · Mental Health 1358 W Belmont Ave, Unit # 202, Chicago, IL 60657 2019-07-25
1376107516 Ghislaine Imaris Ibarra-Brenneman · Ghislaine Imaris Ibarra Physical Therapist 3011 N Clark St, Chicago, IL 60657 2019-04-23
1487116240 Conrad Petersen Dermatology Sc Dermatology 2845 N Sheridan, Chicago, IL 60657 2019-04-02
1003388810 Evolve Wellness S.c. · Evolve Wellness S.c. Counselor · Mental Health 2845 North Sheridan Road, Suite 708, Chicago, IL 60657 2018-12-19
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Taxonomy Information

Taxonomy Code 222Q00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Developmental Therapist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053908475 Charlotte Miller 7267 N Mcvicker Ave, Chicago, IL 60646-1258 2020-12-31
1477150506 Quanita Crawford 3734 W Cortland St Apt 303, Chicago, IL 60647-7565 2020-10-01
1235746975 Dominique Scott 5342 S Wells St, Chicago, IL 60609-6219 2020-09-27
1669083424 Lindsay Miner 2272 W Leland Ave # 1e, Chicago, IL 60625-2006 2020-08-13
1841818663 Lauren Lansdale 1322 S Prairie Ave Unit 1709, Chicago, IL 60605-3085 2020-07-08
1598382822 Tiffany L Lewis 1648 S Kedvale Ave, Chicago, IL 60623-2732 2020-07-02
1992322572 Brittany Hampton 25 E 123rd St, Chicago, IL 60628-6818 2020-06-30
1730705427 Emma Weitzel 3450 N Lake Shore Dr Apt 311, Chicago, IL 60657-2855 2020-06-18
1366067001 Adriane A Harris 4824 S Champlain Ave Apt 3, Chicago, IL 60615-1541 2020-06-09
1467077156 Tracee Hawthorne 1730 N Clark St Apt 2510, Chicago, IL 60614-5890 2020-06-09
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Dataset Information

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.