KENYETTA N. BROUGHTON-FLOYD
NPI 1104030139
Developmental Therapist in Park Forest, IL

Active since May 09, 2007
201 LESTER RD, PARK FOREST, IL 60466(312) 238-9128 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kenyetta N. Broughton-floyd NPPES

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

KENYETTA N. BROUGHTON-FLOYD (NPI 1104030139) is an individual developmental therapist in Park Forest, Illinois, licensed in Illinois (KB52980401P) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1104030139
Entity TypeIndividualFemale
Primary Taxonomy222Q00000X
Provider Legal NameKENYETTA N. BROUGHTON-FLOYD
Location Address201 LESTER RDPark Forest, IL 60466-2013
Mailing AddressPo Box 992Park Forest, IL 60466-0992 · (312) 238-9128 · Fax (708) 434-0811
Sole ProprietorYes
Enumeration DateMay 9, 2007
Last NPPES UpdateSeptember 11, 2025
NPI 1104030139 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
License Licensed in IL · KB52980401P
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 ListedCounselor · SchoolTaxonomy 101YS0200X
201 LESTER RD, Park Forest, IL 60466

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Early Intervention Provider Agency
201 LESTER RD
PARK FOREST, IL 60466
Early Intervention Provider Agency
201 LESTER RD
PARK FOREST, IL 60466

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 Kenyetta Broughton-floyd's NPI number?

The NPI number for Kenyetta Broughton-floyd is 1104030139. It was assigned to this individual provider in the NPPES registry on May 9, 2007.

Where is Kenyetta Broughton-floyd located?

Kenyetta Broughton-floyd practices at 201 Lester Rd, Park Forest, IL 60466. The listed phone number is (312) 238-9128.

What is Kenyetta Broughton-floyd'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 Kenyetta Broughton-floyd was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.