Organization Active NPI

Children'S Therapy Spot

  • Clinic/Center
  • Glen Carbon, IL
National Provider Identifier
1306078738
Registry record updated Aug 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
056.006084 Issued in IL
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

Updated by the provider on Aug 18, 2009

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

Authorized official

Name
Lori Michele Tassinari, MS, OTR/LNPI 1467657718
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.