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Deactivated NPI 1447509575 Deactivated / Inactive NPI Female Practitioner

Versie Wise

Developmental Therapist • Lynwood, 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, Versie Wise has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 05, 2012
NPI Deactivation Date November 06, 2020
Total Practice Duration ~8 Years of Practice (2012 – 2020)

Professional Overview & Biography Verified Profile Summary

Versie Wise was a registered Developmental Therapist practicing in Lynwood, IL. Throughout an active medical career spanning 8 years, Versie Wise provided care at the practice location at 20483 BLUESTEM PKWY until profile deactivation on 2020-11-06.

Practice Location & Contact Primary Location

Practice Address

20483 Bluestem Pkwy

Lynwood, IL 604118546

Telephone 7087573562

Specialty Benchmarks & Practice Insights

Comparative analytics for Developmental Therapist in Lynwood, IL

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

Practicing in Lynwood, 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.

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 November 06, 2020

Record deactivated on November 06, 2020

NPI Profile Active September 05, 2012

NPI status registered as active in NPPES database

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Updated Practice Location September 05, 2012

Registered at 20483 BLUESTEM PKWY, LYNWOOD, IL 604118546 (Tel: 7087573562)

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Updated Business Mailing Address September 05, 2012

Registered at 20483 BLUESTEM PKWY, LYNWOOD, IL 604118546 (Tel: 7087573562)

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Provider Name / Credentials Updated September 05, 2012

Recorded as VERSIE WISE

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 05, 2012

Developmental Therapist

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Initial NPI Registration & Enumeration September 05, 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: 1447509575
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 05, 2012
Last Update: September 05, 2012
Deactivation Date: November 06, 2020

Mailing Address

20483 Bluestem Pkwy

Lynwood, IL 604118546

Phone: 7087573562

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.