Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1336702315 Individual Practitioner Female Practitioner

Jacqueline Moore

Developmental Therapist • Indianapolis, IN

Professional Overview & Biography Verified Profile Summary

Jacqueline Moore is a registered healthcare professional specializing in Developmental Therapist in Indianapolis, IN. Practice services are available at 6239 S EAST ST STE A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6239 S East St Ste A

Indianapolis, IN 462272088

Telephone 3177919031
Associated Practice Facility / Clinic
🏢 Pediplay Llc Facility NPI 1679695381

Specialty Benchmarks & Practice Insights

Comparative analytics for Developmental Therapist in Indianapolis, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
203 Specialists

Practicing in Indianapolis, IN (943 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

40 Associated Practitioners
Courtney Gorbandt , CCC-SLP

Speech-Language Pathologist

NPI 1003308867

Speech-Language Pathologist (Certificate of Clinical Competence)

Rachel Whitaker

Developmental Therapist

NPI 1013683325
Elizabeth Bremmer

Physical Therapy Assistant

NPI 1023476751
Dionne Schetzel

Physical Therapist

NPI 1043915010
Josie Dilts , SLP

Speech-Language Pathologist

NPI 1043986169

Speech-Language Pathologist

Crystal Maple

Developmental Therapist

NPI 1053964759

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location October 17, 2019

Registered at 6239 S EAST ST STE A, INDIANAPOLIS, IN 462272088 (Tel: 3177919031)

📍
Updated Business Mailing Address October 17, 2019

Registered at 6239 S EAST ST STE A, INDIANAPOLIS, IN 462272088 (Tel: 3177919031)

👤
Provider Name / Credentials Updated October 17, 2019

Recorded as JACQUELINE MOORE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2019

Developmental Therapist

NPI Profile Active April 16, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location April 16, 2019

Registered at 6635 E 21ST ST STE 100, INDIANAPOLIS, IN 462192252 (Tel: 3176082824)

📍
Updated Business Mailing Address April 16, 2019

Registered at 3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 462686135 (Tel: 8553240885)

👤
Provider Name / Credentials Updated April 16, 2019

Recorded as JACQUELINE MOORE, RBT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 16, 2019

Behavior Analyst

🟢
Initial NPI Registration & Enumeration April 16, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1336702315
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 16, 2019
Last Update: October 17, 2019
Sole Proprietor: No

Mailing Address

6239 S East St Ste A

Indianapolis, IN 462272088

Phone: 3177919031

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.