Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417590506 Individual Practitioner Female Practitioner

Kristin A Rose , DT

Developmental Therapist • Champaign, IL

Professional Overview & Biography Verified Profile Summary

Kristin Rose, DT is a registered healthcare professional specializing in Developmental Therapist in Champaign, IL. Practice services are available at 1304 W BRADLEY AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1304 W Bradley Ave

Champaign, IL 618212035

Telephone 2173569176
Fax 2173987137
Associated Practice Facility / Clinic
🏢 Developmental Services Center Facility NPI 1801952817

Specialty Benchmarks & Practice Insights

Comparative analytics for Developmental Therapist in Champaign, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 4.0 Yrs
Regional Practice Density
21 Specialists

Practicing in Champaign, IL (2859 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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1801952817 (IL)

Practice Associates & Co-Workers

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

13 Associated Practitioners
Harriet Kersh

Developmental Therapist

NPI 1124247010
Alexandra Shulenburger

Developmental Therapist

NPI 1164641023
Heather Johnson , DT

Developmental Therapist

NPI 1174053946
Deena Love

Developmental Therapist

NPI 1326267212
Bobbie Webb , BA

Early Intervention Provider Agency

NPI 1336725530

Bachelor of Arts

Nichole Kitchens

Developmental Therapist

NPI 1336818715

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 22, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location October 22, 2019

Registered at 1304 W BRADLEY AVE, CHAMPAIGN, IL 618212035 (Tel: 2173569176)

📍
Updated Business Mailing Address October 22, 2019

Registered at 701 W CHURCH ST APT 1, CHAMPAIGN, IL 618203393 (Tel: 2176217129)

👤
Provider Name / Credentials Updated October 22, 2019

Recorded as KRISTIN ROSE, DT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 22, 2019

Developmental Therapist

🟢
Initial NPI Registration & Enumeration October 22, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Kristin Rose. Be the first to share your experience!

Sign in to leave a review for Kristin Rose

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1417590506
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 22, 2019
Last Update: October 22, 2019
Sole Proprietor: No

Mailing Address

701 W Church St Apt 1

Champaign, IL 618203393

Phone: 2176217129

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.