Early Wonders Pediatrics, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

EARLY WONDERS PEDIATRICS, LLC

Practice address

406 Terry Drive
Columbia, IL 62236-1551

Phone

(618) 205-6223

NPI assigned

Aug 13, 2018

Organization subpart

No

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

Authorized official

Name

Lindsay Jean Boggio, MSOT, OTR/L

Title

Occupational Therapist

Phone

(618) 205-6223

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534118400000",
    "number": "1477032274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 TERRY DRIVE",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "622361551",
            "telephone_number": "618-205-6223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 TERRY DRIVE",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "622361551",
            "telephone_number": "618-205-6223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARLY WONDERS PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-13",
        "last_updated": "2018-08-13",
        "status": "A",
        "authorized_official_last_name": "BOGGIO",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "618-205-6223",
        "authorized_official_credential": "MSOT, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Richard Diehl, O.D.
• Heidi Donald, LCSW
• Deanna Rae Douglass, PHARMD
• Renee Elizabeth Doyle, D.M.D
• Ear, Nose & Throat Institute of Southern Illinois LTD.
• Economy Pharmacy, Inc.
• Audrey Elliott
• ENT & Sleep Medicine Associates LLC
• Chijioke Onyinyechukwu Eseonu, DMD, MPH
• Family Medicine in Columbia

• All providers in Columbia, IL
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.