Organization Active NPI

Childrite Development, LLC

  • Occupational Therapist
  • Springfield, IL
National Provider Identifier
1205989696
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
CHILDRITE DEVELOPMENT, LLC
Practice address
201 N Natchez Trce
Springfield, IL 62711-7957
Phone
(217) 726-1946
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Misty White, OTR
Title
Owner
Phone
(217) 726-1946

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X IL Primary

Addresses

Primary practice location

201 N Natchez Trce
Springfield, IL 62711-7957

Mailing address

201 N Natchez Trce
Springfield, IL 62711-7957
Phone (217) 726-1946

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205989696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N NATCHEZ TRCE",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627117957",
            "telephone_number": "217-726-1946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N NATCHEZ TRCE",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627117957",
            "telephone_number": "217-726-1946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRITE DEVELOPMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "MISTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-726-1946",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.