KRISTEN G WAGONER
NPI 1982057337
Developmental Therapist in Chesterton, IN

Active since July 21, 2016
1595 S CALUMET RD, SUITE #3, CHESTERTON, IN 46304(219) 763-6858 Get Directions Write a Review

NPPES record last updated: July 21, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kristen G Wagoner NPPES

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

KRISTEN G WAGONER (NPI 1982057337) is an individual developmental therapist in Chesterton, Indiana and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1982057337
Entity TypeIndividualFemale
Primary Taxonomy222Q00000X
Provider Legal NameKRISTEN G WAGONER
Location Address1595 S CALUMET RD, SUITE #3Chesterton, IN 46304-2388
Mailing Address902 Aspen StHebron, IN 46341-9087 · (219) 996-7590
Sole ProprietorNo
Enumeration DateJuly 21, 2016
NPI 1982057337 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.

1595 S CALUMET RD, Chesterton, IN 46304

Other Providers at the Same Location NPPES 18

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

Physical Therapy Assistant
1595 S CALUMET RD, SUITE #3
CHESTERTON, IN 46304
Speech-Language Pathologist
1595 S CALUMET RD, #1
CHESTERTON, IN 46304
Health Educator
1595 S CALUMET RD
CHESTERTON, IN 46304
Occupational Therapist
1595 S CALUMET RD
CHESTERTON, IN 46304
Developmental Therapist
1595 S CALUMET RD
CHESTERTON, IN 46304
Physical Therapist
1595 S CALUMET RD
CHESTERTON, IN 46304
Occupational Therapist (Pediatrics)
1595 S CALUMET RD
CHESTERTON, IN 46304
Occupational Therapist
1595 S CALUMET RD
CHESTERTON, IN 46304

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1982057337, enumerated as an "individual" on July 21, 2016.

The provider is located at 1595 S CALUMET RD SUITE #3 CHESTERTON, IN 46304 and the phone number is (219) 763-6858.

Developmental Therapist with taxonomy code 222Q00000X.