Breakthrough Pediatric Therapy Services

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

BREAKTHROUGH PEDIATRIC THERAPY SERVICES

Practice address

13030 Gulley LN
Benton, IL 62812-4110

Phone

(618) 218-2653

NPI assigned

Apr 9, 2021

Organization subpart

No

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

Authorized official

Name

Christopher Stubblefield

Title

Otr/L

Phone

(618) 218-2653

Specialties & licenses 1

Addresses

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.

• Chris Stubblefield, OTR

  • Occupational Therapist
  • Anna, IL
  • NPI 1568586758
  NPD

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

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617926400000",
    "number": "1346820834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13030 GULLEY LN",
            "city": "BENTON",
            "state": "IL",
            "postal_code": "628124110",
            "telephone_number": "618-218-2653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13030 GULLEY LN",
            "city": "BENTON",
            "state": "IL",
            "postal_code": "628124110",
            "telephone_number": "618-218-2653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAKTHROUGH PEDIATRIC THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-09",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A",
        "authorized_official_last_name": "STUBBLEFIELD",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OTR/L",
        "authorized_official_telephone_number": "618-218-2653"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benton Rehabilitation & Health Care Center LLC
• Benton Skilled LLC
• Jodi L Biggerstaff
• Paige Denae Binkley, OTR/L
• Terri Lynn Braddock-Hartman, APRN, BC
• Elizabeth Buntin, DC
• Cardinal EMS LTD
• Heather Dale Carney
• Jillian Renee Carpenter
• Amanda Marie Carstensen

• Pediatric Occupational Therapist in Benton, IL
• Providers in Benton, IL by specialty
• Pediatric Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; 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.