KEISHA ANN CLARK
NPI 1457690844
Developmental Therapist in Chicago, IL

Active since February 05, 2013
3711 S VINCENNES AVE, UNIT 614, CHICAGO, IL 60653(309) 721-8831 Get Directions Write a Review

NPPES record last updated: February 5, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Keisha Ann Clark NPPES

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

KEISHA ANN CLARK (NPI 1457690844) is an individual developmental therapist in Chicago, Illinois and active in the NPI registry since February 2013.

NPPES Registry Identity

NPI1457690844
Entity TypeIndividualFemale
Primary Taxonomy222Q00000X
Provider Legal NameKEISHA ANN CLARK
Location Address3711 S VINCENNES AVE, UNIT 614Chicago, IL 60653-1882
Mailing Address3711 S Vincennes Ave, Unit 614Chicago, IL 60653-1882 · (309) 721-8831
Sole ProprietorNo
Enumeration DateFebruary 5, 2013
✔ NPI 1457690844 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.
3711 S VINCENNES AVE, Chicago, IL 60653

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 Keisha Clark's NPI number?

The NPI number for Keisha Clark is 1457690844. It was assigned to this individual provider in the NPPES registry on February 5, 2013.

Where is Keisha Clark located?

Keisha Clark practices at 3711 S Vincennes Ave Unit 614, Chicago, IL 60653. The listed phone number is (309) 721-8831.

What is Keisha Clark'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 Keisha Clark was last updated on February 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.