NPIMap

Organization Active NPI

Appletree Therapy Services, LLC

  • Rehabilitation Clinic/Center
  • O Fallon, IL
National Provider Identifier
1447520168
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
056.009598 Issued in IL
Legal business name
APPLETREE THERAPY SERVICES, LLC
Practice address
634 N Main St
Suite 5
O Fallon, IL 62269-3746
Phone
(618) 690-0068
NPI assigned
Jan 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Authorized official

Name
Mrs. Stacey Bragg, MS OTR/L
Title
Owner/Manager
Phone
(618) 690-0068

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 056.009598 IL Primary

Addresses

Primary practice location

634 N Main St
Suite 5
O Fallon, IL 62269-3746

Mailing address

634 N Main St
Suite 5
O Fallon, IL 62269-3746
Phone (618) 690-0068

National Provider Directory

National Provider Directory
Tax ID family
Apple Tree Therapy Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

634 N Main St
Ste 5
O Fallon, IL 62269
Phone (618) 690-0068

Practitioners & affiliated clinicians

Practitioners 6

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": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1447520168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 N MAIN ST",
            "address_2": "SUITE 5",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622693746",
            "telephone_number": "618-690-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 N MAIN ST",
            "address_2": "SUITE 5",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622693746",
            "telephone_number": "618-690-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLETREE THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "BRAGG",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "618-690-0068",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "IL",
            "license": "056.009598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O Fallon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.