Organization Active NPI

KB Therapy, Inc

  • Pediatric Occupational Therapist
  • Moweaqua, IL
National Provider Identifier
1417015397
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
KB THERAPY, INC
Practice address
1760 N 2525 East Rd
Moweaqua, IL 62550-8525
Phone
(217) 412-7944
Fax
(217) 768-4988
NPI assigned
Dec 4, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kimberlie Koester-BenderNPI 1316977291
Title
President
Phone
(217) 412-7944

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XP0200X IL Primary

Addresses

Primary practice location

1760 N 2525 East Rd
Moweaqua, IL 62550-8525

Mailing address

1760 N 2525 East Rd
Moweaqua, IL 62550-8525
Phone (217) 412-7944

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417015397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 N 2525 EAST RD",
            "city": "MOWEAQUA",
            "state": "IL",
            "postal_code": "625508525",
            "telephone_number": "217-412-7944",
            "fax_number": "217-768-4988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 N 2525 EAST RD",
            "city": "MOWEAQUA",
            "state": "IL",
            "postal_code": "625508525",
            "telephone_number": "217-412-7944",
            "fax_number": "217-768-4988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KB THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOESTER-BENDER",
        "authorized_official_first_name": "KIMBERLIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-412-7944"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moweaqua, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.