JENISE FREDRICKS DT
NPI 1326703703
Developmental Therapist in Evergreen Park, IL

Active since November 01, 2021
2744 W 94TH ST, EVERGREEN PARK, IL 60805(773) 849-4500 Get Directions Write a Review

NPPES record last updated: November 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jenise Fredricks Dt NPPES

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

JENISE FREDRICKS DT (NPI 1326703703) is an individual developmental therapist in Evergreen Park, Illinois and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1326703703
Entity TypeIndividualFemale
Primary Taxonomy222Q00000X
Provider Legal NameJENISE FREDRICKSCredential: DT
Location Address2744 W 94TH STEvergreen Park, IL 60805-2519
Mailing Address2744 W 94th StEvergreen Park, IL 60805-2519 · (773) 849-4500
Sole ProprietorNo
Enumeration DateNovember 1, 2021
NPPES CertifiedNovember 1, 2021
NPI 1326703703 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.
2744 W 94TH ST, Evergreen Park, IL 60805

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 Jenise Fredricks's NPI number?

The NPI number for Jenise Fredricks is 1326703703. It was assigned to this individual provider in the NPPES registry on November 1, 2021.

Where is Jenise Fredricks located?

Jenise Fredricks practices at 2744 W 94th St, Evergreen Park, IL 60805. The listed phone number is (773) 849-4500.

What is Jenise Fredricks'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 Jenise Fredricks was last updated on November 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.