Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639318967 Individual Practitioner Female Practitioner

Kimberly Tanner

Developmental Therapist • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Kimberly Tanner is a registered healthcare professional specializing in Developmental Therapist in Jacksonville, FL. Practice services are available at 12276 SAN JOSE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12276 San Jose Blvd
Ste 507

Jacksonville, FL 322238628

Telephone 9042888910
Fax 9042888912
Associated Practice Facility / Clinic
🏢 Play Works Therapies, P.a. Facility NPI 1043257678

Specialty Benchmarks & Practice Insights

Comparative analytics for Developmental Therapist in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.0 Yrs
State Avg: 7.0 Yrs
Regional Practice Density
234 Specialists

Practicing in Jacksonville, FL (4429 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Developmental Therapist Primary Specialty

NUCC Taxonomy Code: 222Q00000X

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

33 Associated Practitioners
Bridget Sharrar

Pediatrics - Developmental - Behavioral Pediatrics

NPI 1013035815
Megan O'hara

Speech-Language Pathologist

NPI 1013269562
Michelle Robinson

Occupational Therapist

NPI 1023492790
Jontal Fawcett

Developmental Therapist

NPI 1023785920
Kaitlin Chappell

Speech-Language Pathologist

NPI 1104262450
Jill Maliszewski

Speech-Language Pathologist

NPI 1114094661

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 10, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location February 10, 2009

Registered at 12276 SAN JOSE BLVD, STE 507, JACKSONVILLE, FL 322238628 (Tel: 9042888910)

📍
Updated Business Mailing Address February 10, 2009

Registered at 12276 SAN JOSE BLVD, STE 507, JACKSONVILLE, FL 322238628 (Tel: 9042888910)

👤
Provider Name / Credentials Updated February 10, 2009

Recorded as KIMBERLY TANNER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 10, 2009

Developmental Therapist

🟢
Initial NPI Registration & Enumeration February 10, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639318967
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 10, 2009
Last Update: February 10, 2009
Sole Proprietor: No

Mailing Address

12276 San Jose Blvd, Ste 507

Jacksonville, FL 322238628

Phone: 9042888910

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.