Peggy Newby, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

057000931 Issued in IL

Practice address

3920 Pintail Dr Ste B
Springfield, IL 62711-9415

Phone

(217) 891-1524

NPI assigned

Sep 18, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Brains in Motion, LLC.

  • Occupational Therapist
  • Springfield, IL
  • NPI 1194214692

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1316421175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 MAYO ST",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "626261900",
            "telephone_number": "217-825-6320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 PINTAIL DR STE B",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627119415",
            "telephone_number": "217-891-1524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWBY",
        "first_name": "PEGGY",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-18",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "057000931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael W Neumeister, M.D.
• Neurotech, LLC
• Kyle Wayne Nevill, D.C.
• Hillary Nevins, NP
• Erika Nevois
• Larry Michael Newell, MD
• James Patrick Newman, M.D.
• Joshua D Newman, CRNA
• Bryce Barclay Ralls Newton, ATC
• Kenneth E Newton, RBT

• Occupational Therapy Assistant in Springfield, IL
• Providers in Springfield, IL by specialty
• Occupational Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; 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.