Active NPI
Children'S Therapy Spot
- Clinic/Center
- Glen Carbon, IL
National Provider Identifier
1306078738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 056.006084
- Legal business name
- CHILDREN'S THERAPY SPOT
- Practice address
- 450 Cottonwood Rd
Glen Carbon, IL 62034-2772 - Phone
- (618) 977-4683
- NPI assigned
- Aug 18, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lori Michele Tassinari, MS, OTR/L
- Title
- Occupational Therapist
- Phone
- (618) 466-6508
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 056.006084 | IL | Primary |
Addresses
Primary practice location
450 Cottonwood Rd
Glen Carbon, IL 62034-2772
Mailing address
878 Marc Dr
Alton, IL 62002-4268
Phone (618) 466-6508
National Provider Directory
National Provider DirectoryLocations
450 Cottonwood Rd
Glen Carbon, IL 62034
Phone (618) 656-7157
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- Alton, IL
- NPI 1467657718
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250553600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1250553600000",
"number": "1306078738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "878 MARC DR",
"city": "ALTON",
"state": "IL",
"postal_code": "620024268",
"telephone_number": "618-466-6508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 COTTONWOOD RD",
"city": "GLEN CARBON",
"state": "IL",
"postal_code": "620342772",
"telephone_number": "618-977-4683"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILDREN'S THERAPY SPOT",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-18",
"last_updated": "2009-08-18",
"status": "A",
"authorized_official_last_name": "TASSINARI",
"authorized_official_first_name": "LORI",
"authorized_official_middle_name": "MICHELE",
"authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
"authorized_official_telephone_number": "618-466-6508",
"authorized_official_credential": "MS, OTR/L"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "IL",
"license": "056.006084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Carbon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.