IndividualActive
Michelle Peterson, DEVELOPMENTAL THERAP
NPI 1619169901 · Developmental Therapist · Glen Ellyn, IL
Provider details
- NPI number
- 1619169901
- Entity type
- Individual
- Primary specialty
- Developmental TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DEVELOPMENTAL THERAP
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
579 Riford Rd
Glen Ellyn, IL 60137-4236
Phone: (630) 858-2336
Fax: (630) 942-0377
Street-level locationGet directions
Mailing address
579 Riford Rd
Glen Ellyn, IL 60137-4236
Registry dates
- Enumerated
- 2007-08-10
- Last updated
- 2007-08-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.