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Deactivated NPI 1043555675 Deactivated / Inactive NPI Female Practitioner

Ellen Sambolin

Developmental Therapist • Pompano Beach, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Ellen Sambolin has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 08, 2012
NPI Deactivation Date August 21, 2018
Total Practice Duration ~6 Years of Practice (2012 – 2018)

Professional Overview & Biography Verified Profile Summary

Ellen Sambolin was a registered Developmental Therapist practicing in Pompano Beach, FL. Throughout an active medical career spanning 6 years, Ellen Sambolin provided care at the practice location at 2708 NE 14TH ST until profile deactivation on 2018-08-21.

Practice Location & Contact Primary Location

Practice Address

2708 Ne 14th St
Suite 5

Pompano Beach, FL 330623565

Telephone 8888809270
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Developmental Therapist in Pompano Beach, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.0 Yrs
Regional Practice Density
905 Specialists

Practicing in Pompano Beach, 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

40 Associated Practitioners
Meghan Durgin

Developmental Therapist

NPI 1003104928
Alexis Clark , BA

Developmental Therapist

NPI 1003106501

Bachelor of Arts

Tmetha Harley

Developmental Therapist

NPI 1003153982
Stephanie Mical

Developmental Therapist

NPI 1003155631
Avry-Ann Whyte

Developmental Therapist

NPI 1003156266
Carolyn Smith

Developmental Therapist

NPI 1003157983

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated August 21, 2018

Record deactivated on August 21, 2018

NPI Profile Active December 08, 2012

NPI status registered as active in NPPES database

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Updated Practice Location December 08, 2012

Registered at 2708 NE 14TH ST, SUITE 5, POMPANO BEACH, FL 330623565 (Tel: 8888809270)

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Updated Business Mailing Address December 08, 2012

Registered at 3414 QUANTUM LAKES DR, BOYNTON BEACH, FL 334268340 (Tel: 5615096517)

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Provider Name / Credentials Updated December 08, 2012

Recorded as ELLEN SAMBOLIN

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 08, 2012

Developmental Therapist

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Initial NPI Registration & Enumeration December 08, 2012

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: 1043555675
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 08, 2012
Last Update: December 08, 2012
Deactivation Date: August 21, 2018

Mailing Address

3414 Quantum Lakes Dr

Boynton Beach, FL 334268340

Phone: 5615096517

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

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