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Deactivated NPI 1770880585 Deactivated / Inactive NPI Female Practitioner

Jody Ann Pitcock

Developmental Therapist • Richardson, TX

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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, Jody Pitcock has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 15, 2011
NPI Deactivation Date August 19, 2022
Total Practice Duration ~11 Years of Practice (2011 – 2022)

Professional Overview & Biography Verified Profile Summary

Jody Pitcock was a registered Developmental Therapist practicing in Richardson, TX. Throughout an active medical career spanning 11 years, Jody Pitcock provided care at the practice location at 320 CUSTER ROAD until profile deactivation on 2022-08-19.

Practice Location & Contact Primary Location

Practice Address

320 Custer Road

Richardson, TX 75080

Telephone 9724909055
Fax 9722650392
Associated Practice Facility / Clinic
🏢 The Warren Center, Inc Facility NPI 1538214200

Specialty Benchmarks & Practice Insights

Comparative analytics for Developmental Therapist in Richardson, TX

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

Practicing in Richardson, TX (150 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 TX CERTIFICATE1542611

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
Tina Sasser , BS, EIS

Case Manager/Care Coordinator

NPI 1023163805

Bachelor of Science, EIS

Lori Lansford , BS ED, ELS

Developmental Therapist

NPI 1023328952

BSED, ELS

Marlina Vea , BA, EIS-EL

Developmental Therapist

NPI 1033429964

Bachelor of Arts, EISEL

Rebecca Clinton , SLP

Speech-Language Pathologist

NPI 1033441084

Speech-Language Pathologist

Carol Whitley , BA

Case Manager/Care Coordinator

NPI 1033612940

Bachelor of Arts

Medina Barron , OTR

Occupational Therapist

NPI 1033633086

Occupational Therapist Registered

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 August 19, 2022

Record deactivated on August 19, 2022

NPI Profile Active August 18, 2011

NPI status registered as active in NPPES database

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Updated Practice Location August 18, 2011

Registered at 320 CUSTER ROAD, RICHARDSON, TX 75080 (Tel: 9724909055)

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Updated Business Mailing Address August 18, 2011

Registered at 2625 ANITA DR, GARLAND, TX 75041 (Tel: 9724909055)

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Provider Name / Credentials Updated August 18, 2011

Recorded as JODY PITCOCK

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

Developmental Therapist (License #CERTIFICATE1542611 in TX)

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Initial NPI Registration & Enumeration February 15, 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: 1770880585
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 15, 2011
Last Update: August 18, 2011
Deactivation Date: August 19, 2022

Mailing Address

2625 Anita Dr

Garland, TX 75041

Phone: 9724909055

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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