KRISTIN GORNING MA DT NPI 1003001355

Developmental Therapist in Chicago, IL

About KRISTIN GORNING

Kristin Gorning is a provider in Chicago, IL. The NPI number assigned to this provider is 1003001355. The practitioner's primary taxonomy code is Developmental Therapist (222Q00000X). The provider is registered as an individual and their NPI record was last updated 10 years ago.

NPI1003001355 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name KRISTIN GORNING MA DT
Provider Location Address715 W ARMITAGE AVE # 2 CHICAGO, IL 60614 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address715 W ARMITAGE AVE # 2 CHICAGO, IL 60614 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderFemale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?Yes
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date09-10-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date09-10-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

KRISTIN GORNING MA DT
715 W ARMITAGE AVE # 2
CHICAGO, IL
ZIP 60614
Phone: (773) 458-0951
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Mailing Address

KRISTIN GORNING MA DT
715 W ARMITAGE AVE # 2
CHICAGO, IL
ZIP 60614
Phone:

Primary Taxonomy

Taxonomy Code222Q00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationDevelopmental Therapist
TypeRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy DescriptionA 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.

Map Location


KRISTIN GORNING MA DT address is 715 W ARMITAGE AVE # 2 CHICAGO, IL 60614