Specialized Pediatric Occupational Therapy Services, LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

SPECIALIZED PEDIATRIC OCCUPATIONAL THERAPY SERVICES, LLC

Doing business as

SPOTS for Families

Practice address

748 Riedy Rd
Lisle, IL 60532-2231

Phone

(314) 598-3011

NPI assigned

Jan 7, 2018

Last updated

Jan 7, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Farah Moradi

Title

Owner

Phone

(314) 598-3011

Specialties & licenses 1

Addresses

Other names 1

• SPOTS for Families Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Farah Budd

  • Occupational Therapist
  • Lisle, IL
  • NPI 1831578962
  NPD (past)

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

{
    "created_epoch": "1515283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515283200000",
    "number": "1326555723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 RIEDY RD",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605322231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 RIEDY RD",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605322231",
            "telephone_number": "314-598-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED PEDIATRIC OCCUPATIONAL THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-07",
        "last_updated": "2018-01-07",
        "status": "A",
        "authorized_official_last_name": "MORADI",
        "authorized_official_first_name": "FARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-598-3011"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPOTS for Families",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Qiujing Song, DMD
• Celeste Adele Sorensen, LCSW
• Danielle Marie Southerland, DO
• Southwest Hearing Solutions Inc
• Sovereign Pediatric
• Hannah Dilday Spera, DMD
• Emily Catherine Sproat, PT, DPT
• Melissa Ann Stacko, MSW
• Thomas F Stazak, O.D.
• Yoran Stclair, LCSW

• Early Intervention Provider Agency in Lisle, IL
• Providers in Lisle, IL by specialty
• Early Intervention Provider Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.