Neurobeat LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

NEUROBEAT LLC

Practice address

201 N Tyler Rd
St Charles, IL 60174-2362

Phone

(312) 351-9675

NPI assigned

Jan 10, 2020

Organization subpart

No

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

Authorized official

Name

Mike Kelvin Tolentino Esguerra, OTR/L,CLT,SFS

Title

Owner

Phone

(312) 351-9675

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601337600000",
    "number": "1154961829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N TYLER RD",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742362",
            "telephone_number": "312-351-9675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N TYLER RD",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742362",
            "telephone_number": "312-351-9675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROBEAT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-10",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A",
        "authorized_official_last_name": "ESGUERRA",
        "authorized_official_first_name": "MIKE KELVIN",
        "authorized_official_middle_name": "TOLENTINO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-351-9675",
        "authorized_official_credential": "OTR/L,CLT,SFS"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in St Charles, IL
• Providers in St Charles, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; 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.