NPIMap

Organization Active NPI

Dawn Collman Developmental Therapy Inc.

  • Early Intervention Provider Agency
  • Freeport, IL
National Provider Identifier
1407412315
Registry record updated May 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
DAWN COLLMAN DEVELOPMENTAL THERAPY INC.
Practice address
4259 German Valley Rd
Freeport, IL 61032-9604
Phone
(815) 275-0404
NPI assigned
May 15, 2019
Last updated
May 15, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dawn CollmanNPI 1457570830
Title
Owner
Phone
(815) 275-0404

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

4259 German Valley Rd
Freeport, IL 61032-9604

Mailing address

4259 German Valley Rd
Freeport, IL 61032-9604

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557878400000",
    "number": "1407412315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4259 GERMAN VALLEY RD",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610329604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4259 GERMAN VALLEY RD",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610329604",
            "telephone_number": "815-275-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAWN COLLMAN DEVELOPMENTAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-15",
        "last_updated": "2019-05-15",
        "status": "A",
        "authorized_official_last_name": "COLLMAN",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-275-0404"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeport, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.