Active NPI
Inspire Therapy of Southern Illinois LLC
- Pediatric Occupational Therapist
- Freeburg, IL
National Provider Identifier
1508618802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 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
National Provider Directory
National Provider DirectoryPractitioners & 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.