Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104030139 Individual Practitioner Female Practitioner

Kenyetta N. Broughton-Floyd

Developmental Therapist • Park Forest, IL

Professional Overview & Biography Verified Profile Summary

Kenyetta Broughton-Floyd is a registered healthcare professional specializing in Developmental Therapist in Park Forest, IL. Practice services are available at 201 LESTER RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

201 Lester Rd

Park Forest, IL 604662013

Telephone 3122389128
Associated Practice Facility / Clinic
🏢 Knbf Consultants Facility NPI 1861636920

Specialty Benchmarks & Practice Insights

Comparative analytics for Developmental Therapist in Park Forest, IL

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

Practicing in Park Forest, 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

State License IL KB52980401P

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.

Counselor - School

NUCC Taxonomy Code: 101YS0200X

Definition to come...

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 201 LESTER RD, PARK FOREST, IL 604662013 (Tel: 3122389128)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 992, PARK FOREST, IL 604660992 (Tel: 3122389128)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KENYETTA BROUGHTON-FLOYD

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

Counselor

🟢
Initial NPI Registration & Enumeration May 09, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1104030139
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 09, 2007
Last Update: September 11, 2025
Sole Proprietor: Yes

Mailing Address

Po Box 992

Park Forest, IL 604660992

Phone: 3122389128

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.