NPIMap

Organization Active NPI

Sensory-Motor Therapeutics, Inc.

  • Early Intervention Provider Agency
  • Peoria, IL
National Provider Identifier
1134417652
Registry record updated Jul 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
056.004578 Issued in IL
Legal business name
SENSORY-MOTOR THERAPEUTICS, INC.
Practice address
2102 W Forestglen Dr
Peoria, IL 61615-4904
Phone
(309) 966-2772
NPI assigned
Jul 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2011

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

Authorized official

Name
Kristi Bauer, OTR/L
Title
Owner/Occupational Therapist
Phone
(309) 966-2772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 056.004578 IL Primary

Addresses

Primary practice location

2102 W Forestglen Dr
Peoria, IL 61615-4904

Mailing address

2102 W Forestglen Dr
Peoria, IL 61615-4904
Phone (309) 966-2772

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310947200000",
    "number": "1134417652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 W FORESTGLEN DR",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616154904",
            "telephone_number": "309-966-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 W FORESTGLEN DR",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616154904",
            "telephone_number": "309-966-2772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENSORY-MOTOR THERAPEUTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-18",
        "last_updated": "2011-07-18",
        "status": "A",
        "authorized_official_last_name": "BAUER",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "OWNER/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "309-966-2772",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "IL",
            "license": "056.004578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; 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.