NPIMap

Organization Active NPI

Cypress Therapy and Rehabilitation, LLC

  • Early Intervention Provider Agency
  • Carrollton, IL
National Provider Identifier
1003149030
Registry record updated Sep 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
146005569 Issued in IL
Legal business name
CYPRESS THERAPY AND REHABILITATION, LLC
Practice address
RR 3 Box 46
Carrollton, IL 62016-9506
Phone
(217) 556-1225
Fax
(214) 942-3717
NPI assigned
Sep 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2009

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

Authorized official

Name
Mrs. Kathy J. Heinz-Newingham, MS CCC/SLP
Title
Executive Officer
Phone
(217) 556-1225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 146005569 IL Primary

Addresses

Primary practice location

RR 3 Box 46
Carrollton, IL 62016-9506

Mailing address

RR 3 Box 46
P.O. Box 45
Carrollton, IL 62016-9506
Phone (217) 556-1225

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252454400000",
    "number": "1003149030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 3 BOX 46",
            "address_2": "P.O. BOX 45",
            "city": "CARROLLTON",
            "state": "IL",
            "postal_code": "620169506",
            "telephone_number": "217-556-1225",
            "fax_number": "214-942-3717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 3 BOX 46",
            "city": "CARROLLTON",
            "state": "IL",
            "postal_code": "620169506",
            "telephone_number": "217-556-1225",
            "fax_number": "214-942-3717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYPRESS THERAPY AND REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-09",
        "last_updated": "2009-09-09",
        "status": "A",
        "authorized_official_last_name": "HEINZ-NEWINGHAM",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "217-556-1225",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "IL",
            "license": "146005569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2009; 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.