Starlight Occupational Therapy, PLLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

STARLIGHT OCCUPATIONAL THERAPY, PLLC

Practice address

2110 N Market St Ste B
Champaign, IL 61822-1360

Phone

(217) 419-8345

Fax

(888) 920-3288

NPI assigned

Mar 4, 2022

Last updated

Mar 6, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shu Hua ChenNPI 1801242631

Title

Occupational Therapist

Phone

(217) 419-8345

Specialties & licenses 1

Addresses

Locations

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.

• Shu Hua Chen

  • Occupational Therapist
  • Urbana, IL
  • NPI 1801242631
  NPD Authorized official

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

{
    "created_epoch": "1646352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1013664416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 N MARKET ST STE B",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618221360",
            "telephone_number": "217-419-8345",
            "fax_number": "888-920-3288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 N MARKET ST STE B",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618221360",
            "telephone_number": "217-419-8345",
            "fax_number": "888-920-3288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARLIGHT OCCUPATIONAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-04",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "SHU HUA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "217-419-8345"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Occupational Therapist in Champaign, IL
• Providers in Champaign, IL by specialty
• Pediatric Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.