NPIMap

Organization Active NPI

Mueller Pediatric Therapy, LTD.

  • Speech-Language Pathologist
  • East Peoria, IL
National Provider Identifier
1316112139
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146008528 Issued in IL
Legal business name
MUELLER PEDIATRIC THERAPY, LTD.
Practice address
411 E Washington St
East Peoria, IL 61611-2663
Phone
(309) 282-6704
Fax
(309) 387-2340
NPI assigned
Apr 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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

Authorized official

Name
Mrs. Erin Nicole Lynette Mueller, M.S. CCC-SLP/L
Title
President/ SLP
Phone
(309) 282-6704

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 146008528 IL Primary

Addresses

Primary practice location

411 E Washington St
East Peoria, IL 61611-2663

Mailing address

411 E Washington St
East Peoria, IL 61611-2663
Phone (309) 282-6704

National Provider Directory

National Provider Directory
Tax ID family
Mueller Pediatric Therapy LTD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427328000000",
    "number": "1316112139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 E WASHINGTON ST",
            "city": "EAST PEORIA",
            "state": "IL",
            "postal_code": "616112663",
            "telephone_number": "309-282-6704",
            "fax_number": "309-387-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 E WASHINGTON ST",
            "city": "EAST PEORIA",
            "state": "IL",
            "postal_code": "616112663",
            "telephone_number": "309-282-6704",
            "fax_number": "309-387-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUELLER PEDIATRIC THERAPY, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2015-03-26",
        "status": "A",
        "authorized_official_last_name": "MUELLER",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "NICOLE LYNETTE",
        "authorized_official_title_or_position": "PRESIDENT/ SLP",
        "authorized_official_telephone_number": "309-282-6704",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S. CCC-SLP/L"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146008528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; 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.