KRISTIN A ROSE DT
NPI 1417590506
Developmental Therapist in Champaign, IL

Active since October 22, 2019
1304 W BRADLEY AVE, CHAMPAIGN, IL 61821(217) 356-9176(217) 398-7137 Get Directions Write a Review

NPPES record last updated: October 22, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kristin A Rose Dt NPPES

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

KRISTIN A ROSE DT (NPI 1417590506) is an individual developmental therapist in Champaign, Illinois and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1417590506
Entity TypeIndividualFemale
Primary Taxonomy222Q00000X
Provider Legal NameKRISTIN A ROSECredential: DT
Location Address1304 W BRADLEY AVEChampaign, IL 61821-2035
Mailing Address701 W Church St Apt 1Champaign, IL 61820-3393 · (217) 621-7129
Fax(217) 398-7137
Sole ProprietorNo
Enumeration DateOctober 22, 2019
NPI 1417590506 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.
1304 W BRADLEY AVE, Champaign, IL 61821

Other Names 1

Professional Name (2)Kristin A Rose Dt

Other Identifiers 1

Medicaid1801952817IL

Other Providers at the Same Location NPPES 15

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

Developmental Therapist
1304 W BRADLEY AVE
CHAMPAIGN, IL 61821
Developmental Therapist
1304 W BRADLEY AVE
CHAMPAIGN, IL 61821
Developmental Therapist
1304 W BRADLEY AVE
CHAMPAIGN, IL 61821
Developmental Therapist
1304 W BRADLEY AVE
CHAMPAIGN, IL 61821
Early Intervention Provider Agency
1304 W BRADLEY AVE
CHAMPAIGN, IL 61821
Developmental Therapist
1304 W BRADLEY AVE
CHAMPAIGN, IL 61821
Developmental Therapist
1304 W BRADLEY AVE
CHAMPAIGN, IL 61821
Speech-Language Pathologist
1304 W BRADLEY AVE
CHAMPAIGN, IL 61821

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 Kristin Rose's NPI number?

The NPI number for Kristin Rose is 1417590506. It was assigned to this individual provider in the NPPES registry on October 22, 2019. The provider is also known as Kristin A Rose Dt.

Where is Kristin Rose located?

Kristin Rose practices at 1304 W Bradley Ave, Champaign, IL 61821. The listed phone number is (217) 356-9176.

What is Kristin Rose'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 Kristin Rose was last updated on October 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.