MS. DEANDREA DENISE FEDRICK TVI
NPI 1053602086
Developmental Therapist in Chicago, IL

Active since April 25, 2011
11400 S ADA ST, CHICAGO, IL 60643(773) 954-4997 Get Directions Write a Review

NPPES record last updated: April 25, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Deandrea Denise Fedrick Tvi NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. DEANDREA DENISE FEDRICK TVI (NPI 1053602086) is an individual developmental therapist in Chicago, Illinois and active in the NPI registry since April 2011.

NPPES Registry Identity

NPI1053602086
Entity TypeIndividualFemale
Primary Taxonomy222Q00000X
Provider Legal NameMS. DEANDREA DENISE FEDRICKCredential: TVI
Location Address11400 S ADA STChicago, IL 60643-4428
Mailing Address11400 S Ada StChicago, IL 60643-4428 · (773) 954-4997
Sole ProprietorYes
Enumeration DateApril 25, 2011
NPI 1053602086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDevelopmental TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code222Q00000X
Definition
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.
Also ListedEarly Intervention Provider AgencyTaxonomy 252Y00000X
11400 S ADA ST, Chicago, IL 60643

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deandrea Fedrick's NPI number?

The NPI number for Deandrea Fedrick is 1053602086. It was assigned to this individual provider in the NPPES registry on April 25, 2011.

Where is Deandrea Fedrick located?

Deandrea Fedrick practices at 11400 S Ada St, Chicago, IL 60643. The listed phone number is (773) 954-4997.

What is Deandrea Fedrick's specialty?

The primary specialty registered for this NPI is Developmental Therapist with taxonomy code 222Q00000X.

When was this NPI record last updated?

The NPPES record for Deandrea Fedrick was last updated on April 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.