NPIMap

Organization Active NPI

OT Playworks Inc.

  • Early Intervention Provider Agency
  • Fairfield, IL
National Provider Identifier
1316476849
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
056008112 Issued in IL
Legal business name
OT PLAYWORKS INC.
Practice address
1023 US Highway 45
Fairfield, IL 62837-2909
Phone
(618) 895-4260
Fax
(618) 551-8835
NPI assigned
Jun 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Deana Lynne Hostettler, MSOTR/L
Title
Owner/Therapist
Phone
(618) 895-4260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 056008112 IL Primary

Addresses

Primary practice location

1023 US Highway 45
Fairfield, IL 62837-2909

Mailing address

1023 US Highway 45
Fairfield, IL 62837-2909
Phone (618) 895-4260

National Provider Directory

National Provider Directory

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": "1496880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1316476849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 US HIGHWAY 45",
            "city": "FAIRFIELD",
            "state": "IL",
            "postal_code": "628372909",
            "telephone_number": "618-895-4260",
            "fax_number": "618-551-8835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 US HIGHWAY 45",
            "city": "FAIRFIELD",
            "state": "IL",
            "postal_code": "628372909",
            "telephone_number": "618-895-4260",
            "fax_number": "618-551-8835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OT PLAYWORKS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HOSTETTLER",
        "authorized_official_first_name": "DEANA",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "618-895-4260",
        "authorized_official_credential": "MSOTR/L"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "IL",
            "license": "056008112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.