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Deactivated NPI 1386851194 Deactivated / Inactive NPI Female Practitioner

Stacey Teague , DT

Developmental Therapist • Chicago, IL

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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, Stacey Teague has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 17, 2007
NPI Deactivation Date January 30, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Stacey Teague, DT was a registered Developmental Therapist practicing in Chicago, IL. Throughout an active medical career spanning 15 years, Stacey Teague provided care at the practice location at 613 E 91ST PL until profile deactivation on 2022-01-30.

Practice Location & Contact Primary Location

Practice Address

613 E 91st Pl

Chicago, IL 606197614

Telephone 7085075511
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Developmental Therapist in Chicago, IL

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

Practicing in Chicago, 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.

Practice Associates & Co-Workers

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

7 Associated Practitioners
Kimberly Garner

Developmental Therapist

NPI 1063659712
Karen Parker , DT

Developmental Therapist

NPI 1235347097
Shawanda Gaines , MS, CCC-SLP, L

Speech-Language Pathologist

NPI 1235484064

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence), L

Deborah Carter , DT

Developmental Therapist

NPI 1528276060
Ja're Thorn

Specialist

NPI 1588000392
Jessica Franke

Developmental Therapist

NPI 1588831838

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 January 30, 2022

Record deactivated on January 30, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 613 E 91ST PL, CHICAGO, IL 606197614 (Tel: 7085075511)

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Updated Business Mailing Address July 08, 2007

Registered at 613 E 91ST PL, CHICAGO, IL 606197614 (Tel: 7085075511)

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Provider Name / Credentials Updated July 08, 2007

Recorded as STACEY TEAGUE, D.T.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Developmental Therapist

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Initial NPI Registration & Enumeration May 17, 2007

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: 1386851194
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 17, 2007
Last Update: July 08, 2007
Deactivation Date: January 30, 2022

Mailing Address

613 E 91st Pl

Chicago, IL 606197614

Phone: 7085075511

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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