KRISTA TECKENBROCK
NPI 1184013955
Developmental Therapist in Herrin, IL

Active since January 16, 2015
37 DOUGLAS DR, HERRIN, IL 62948(618) 988-6859 Get Directions Write a Review

NPPES record last updated: January 16, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Krista Teckenbrock NPPES

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

KRISTA TECKENBROCK (NPI 1184013955) is an individual developmental therapist in Herrin, Illinois and active in the NPI registry since January 2015.

NPPES Registry Identity

NPI1184013955
Entity TypeIndividualFemale
Primary Taxonomy222Q00000X
Provider Legal NameKRISTA TECKENBROCK
Location Address37 DOUGLAS DRHerrin, IL 62948-4232
Mailing Address37 Douglas DrHerrin, IL 62948-4232 · (618) 988-6859
Sole ProprietorYes
Enumeration DateJanuary 16, 2015
NPI 1184013955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
37 DOUGLAS DR, Herrin, IL 62948

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 Krista Teckenbrock's NPI number?

The NPI number for Krista Teckenbrock is 1184013955. It was assigned to this individual provider in the NPPES registry on January 16, 2015.

Where is Krista Teckenbrock located?

Krista Teckenbrock practices at 37 Douglas Dr, Herrin, IL 62948. The listed phone number is (618) 988-6859.

What is Krista Teckenbrock'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 Krista Teckenbrock was last updated on January 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.