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Deactivated NPI 1619252905 Deactivated / Inactive NPI Female Practitioner

Alexandra Lee Didomizio

Developmental Therapist • Manhattan, 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, Alexandra Didomizio has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 18, 2011
NPI Deactivation Date May 16, 2017
Total Practice Duration ~6 Years of Practice (2011 – 2017)

Professional Overview & Biography Verified Profile Summary

Alexandra Didomizio was a registered Developmental Therapist practicing in Manhattan, IL. Throughout an active medical career spanning 6 years, Alexandra Didomizio provided care at the practice location at 25632 BARROW RD until profile deactivation on 2017-05-16.

Practice Location & Contact Primary Location

Practice Address

25632 Barrow Rd

Manhattan, IL 604426250

Telephone 7735449928
Fax 8155310043
Associated Practice Facility / Clinic
🏢 Beanstalk Therapies Llc Facility NPI 1235681909

Specialty Benchmarks & Practice Insights

Comparative analytics for Developmental Therapist in Manhattan, IL

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

Practicing in Manhattan, 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

2 Associated Practitioners
Amanda List , DT

Developmental Therapist

NPI 1366880155
Toni Marcum , DT, OTR, L

Occupational Therapist

NPI 1851563589

DT, Occupational Therapist Registered, L

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 May 16, 2017

Record deactivated on May 16, 2017

NPI Profile Active October 18, 2011

NPI status registered as active in NPPES database

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Updated Practice Location October 18, 2011

Registered at 25632 BARROW RD, MANHATTAN, IL 604426250 (Tel: 7735449928)

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Updated Business Mailing Address October 18, 2011

Registered at 25632 BARROW RD, MANHATTAN, IL 604426250

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Provider Name / Credentials Updated October 18, 2011

Recorded as ALEXANDRA DIDOMIZIO

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 18, 2011

Developmental Therapist

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Initial NPI Registration & Enumeration October 18, 2011

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: 1619252905
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 18, 2011
Last Update: October 18, 2011
Deactivation Date: May 16, 2017

Mailing Address

25632 Barrow Rd

Manhattan, IL 604426250

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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