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Deactivated NPI 1104169440 Deactivated / Inactive NPI Female Practitioner

Mattisa K Dumas

Developmental Therapist • Waco, 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, Mattisa Dumas has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 04, 2013
NPI Deactivation Date December 13, 2023
Total Practice Duration ~10 Years of Practice (2013 – 2023)

Professional Overview & Biography Verified Profile Summary

Mattisa Dumas was a registered Developmental Therapist practicing in Waco, TX. Throughout an active medical career spanning 10 years, Mattisa Dumas provided care at the practice location at 225 LONDONDERRY DR until profile deactivation on 2023-12-13.

Practice Location & Contact Primary Location

Practice Address

225 Londonderry Dr
Apt 119

Waco, TX 767127925

Telephone 2547095760

Specialty Benchmarks & Practice Insights

Comparative analytics for Developmental Therapist in Waco, TX

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

Practicing in Waco, 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

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 December 13, 2023

Record deactivated on December 13, 2023

NPI Profile Active April 04, 2013

NPI status registered as active in NPPES database

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Updated Practice Location April 04, 2013

Registered at 225 LONDONDERRY DR, APT 119, WACO, TX 767127925 (Tel: 2547095760)

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Updated Business Mailing Address April 04, 2013

Registered at 225 LONDONDERRY DR, APT 119, WACO, TX 767127925 (Tel: 2547095760)

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Provider Name / Credentials Updated April 04, 2013

Recorded as MATTISA DUMAS

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 04, 2013

Developmental Therapist

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Initial NPI Registration & Enumeration April 04, 2013

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: 1104169440
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 04, 2013
Last Update: April 04, 2013
Deactivation Date: December 13, 2023

Mailing Address

225 Londonderry Dr, Apt 119

Waco, TX 767127925

Phone: 2547095760

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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