Melissa Culligan, DT

Individual provider Active NPI Developmental Therapist · Manhattan, IL

NPI 1285850511 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1285850511
Entity type
Individual (NPI type 1)
Primary specialty
Developmental Therapist 222Q00000X
Practice address
25145 Spring St
Manhattan, IL 60442-1402
Phone
(708) 307-5462
Fax
(815) 478-7694
NPI assigned
Apr 17, 2007
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Above and Beyond Pediatric Therapy, Corp Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X Yes

Addresses

Primary practice location

25145 Spring St
Manhattan, IL 60442-1402

Mailing address

25145 Spring St
Manhattan, IL 60442-1402
Phone (708) 307-5462

Other providers in Manhattan, IL

All providers in Manhattan, IL · Developmental Therapist in Illinois

Sources for this page

Verify at the official NPI Registry.