THERESA WICKLUND
NPI 1376905943
Developmental Therapist in Florence, KY

NPI Status: Active since March 23, 2016

Contact Information

4900 HOUSTON RD
FLORENCE, KY
ZIP 41042
Phone: (859) 655-1195
Fax: (859) 655-1194

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  • Individual
  • Female
  • Developmental Therapist

About THERESA WICKLUND

This page provides the complete NPI Profile along with additional information for Theresa Wicklund, a provider established in Florence, Kentucky with a medical specialization in Developmental Therapist. The healthcare provider is registered in the NPI registry with number 1376905943 assigned on March 2016. The practitioner's primary taxonomy code is 222Q00000X. The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1376905943
Provider Name
THERESA WICKLUND
Gender
Female
Entity Type
Individual
Location Address
4900 HOUSTON RD FLORENCE, KY 41042
Location Phone
(859) 655-1195
Location Fax
(859) 655-1194
Mailing Address
4900 HOUSTON RD FLORENCE, KY 41042
Mailing Phone
(859) 655-1195
Mailing Fax
(859) 655-1194
Is Sole Proprietor?
Yes
Enumeration Date
03-23-2016
Last Update Date
05-21-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Developmental Therapist

Taxonomy Code
222Q00000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License State
KY
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
201114472OTHER (01)KYIECE CERTIFICATION

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1376905943
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231461801098
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 4 + 6 + 1 + 8 + 0 + 1 + 0 + 9 + 8 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1376905943 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1972774636INDEPENDENT ANESTHESIOLOGISTS, PSC
Organization
Anesthesiology4900 HOUSTON RD
FLORENCE, KY 41042
(859) 341-7246
1457621898TRI-STATE PAIN MANAGEMENT SERVICE INC
Organization
Pain Medicine (Interventional Pain Medicine)4900 HOUSTON RD
FLORENCE, KY 41042
(859) 341-7246
1306101001DR. ADAM PAT SCOTT PHARM.D.
Individual
Pharmacist4900 HOUSTON RD
FLORENCE, KY 41042
(859) 212-5340
1609044015DR. JUSTIN WILLIAM CASE MD
Individual
Internal Medicine4900 HOUSTON RD
FLORENCE, KY 41042
(859) 212-5200
1447596531DR. BRADLEY EDWARD SCHMIDT PHARM.D.
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)4900 HOUSTON RD
FLORENCE, KY 41042
(859) 212-5498
1346408069 KATHERINE JACKSON SLP
Individual
Speech-Language Pathologist4900 HOUSTON RD
FLORENCE, KY 41042
(859) 212-5386
1134550197 LINDSEY HOUSE RD, LD
Individual
Dietitian, Registered4900 HOUSTON RD
FLORENCE, KY 41042
(859) 212-4625
1154752525MRS. KARAH STANLEY RD
Individual
Dietitian, Registered4900 HOUSTON RD
FLORENCE, KY 41042
(859) 212-4625
1689005928 BETH HILS R.D., L.D.
Individual
Dietitian, Registered4900 HOUSTON RD
FLORENCE, KY 41042
(859) 212-4625
1154365062ST ELIZABETH MEDICAL CENTER, INC
Organization
General Acute Care Hospital4900 HOUSTON RD
FLORENCE, KY 41042
(859) 212-5200
1851785034 ELIZABETH JENSEN
Individual
Case Manager/Care Coordinator4900 HOUSTON RD
FLORENCE, KY 41042
(859) 655-1195
1912388794 KATIE WELLS
Individual
Case Manager/Care Coordinator4900 HOUSTON RD
FLORENCE, KY 41042
(859) 655-3277
1619910585 ROBERT N LORENZ M.D.
Individual
Internal Medicine (Pulmonary Disease)4900 HOUSTON RD
FLORENCE, KY 41042
(859) 212-7700
1619969904 DWAYNE V SMITH MD
Individual
Surgery4900 HOUSTON RD
FLORENCE, KY 41042
(859) 212-4625
1548607070MRS. BETH ANNE TASCHUK R.D.
Individual
Dietitian, Registered4900 HOUSTON RD
FLORENCE, KY 41042
(859) 212-4625
1891738084DR. LAWRENCE A. ZEFF M.D.
Individual
Physical Medicine & Rehabilitation4900 HOUSTON RD
FLORENCE, KY 41042
(859) 212-7000
1518064534 GERDA MAISSEL MD
Individual
Physical Medicine & Rehabilitation4900 HOUSTON RD
FLORENCE, KY 41042
(859) 212-7000
1902344203 DAVID MONTGOMERY I DPT
Individual
Physical Therapist4900 HOUSTON RD
FLORENCE, KY 41042
(859) 221-5400
1710425731MRS. CHERIE TEWES PAGE PT
Individual
Physical Therapist4900 HOUSTON RD
FLORENCE, KY 41042
(859) 212-5400
1568901478 KERI SANDS
Individual
Physical Therapist4900 HOUSTON RD
FLORENCE, KY 41042
(859) 212-5400

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376905943, enumerated in the NPI registry as an "individual" on March 23, 2016

The provider is located at 4900 Houston Rd Florence, Ky 41042 and the phone number is (859) 655-1195

The provider's speciality is Developmental Therapist with taxonomy code 222Q00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on March 23, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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