Organization Active NPI

Inspire Therapy of Southern Illinois LLC

  • Pediatric Occupational Therapist
  • Freeburg, IL
National Provider Identifier
1508618802
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
INSPIRE THERAPY OF SOUTHERN ILLINOIS LLC
Practice address
1200 Anise CT
Freeburg, IL 62243-2118
Phone
(618) 746-9209
NPI assigned
Apr 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Authorized official

Name
Ms. Jennifer M McDonald, OTR
Title
Occupational Therapist-Registered
Phone
(618) 746-9209

Specialties & licenses 1

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

Addresses

Primary practice location

1200 Anise CT
Freeburg, IL 62243-2118

Mailing address

1200 Anise CT
Freeburg, IL 62243-2118
Phone (618) 746-9209

Other names 1

  • Inspire Therapy of Southern Illinois Doing business as

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.

NPI Registry JSON

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1508618802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 ANISE CT",
            "city": "FREEBURG",
            "state": "IL",
            "postal_code": "622432118",
            "telephone_number": "618-746-9209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 ANISE CT",
            "city": "FREEBURG",
            "state": "IL",
            "postal_code": "622432118",
            "telephone_number": "618-746-9209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRE THERAPY OF SOUTHERN ILLINOIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST-REGISTERED",
        "authorized_official_telephone_number": "618-746-9209",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inspire Therapy of Southern Illinois",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Inspire Therapy of Southern Illinois",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Freeburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.