Active NPI
Development Therapy LLC
- Pediatric Occupational Therapist
- Cedarburg, WI
National Provider Identifier
1528814720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- Legal business name
- DEVELOPMENT THERAPY LLC
- Practice address
- W57N14280 Doerr Way Ste 103
Cedarburg, WI 53012-3108 - Phone
- (920) 655-1909
- NPI assigned
- Apr 29, 2024
- Last updated
- Apr 29, 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
- Maria McQuillan
- Title
- Owner
- Phone
- (920) 655-1909
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | Primary |
Addresses
Primary practice location
W57N14280 Doerr Way Ste 103
Cedarburg, WI 53012-3108
Mailing address
2243 Merganser CT
Suamico, WI 54313-4030
Phone (920) 655-1909
National Provider Directory
National Provider DirectoryLocations
W57N14280 Doerr Way
Ste 103
Cedarburg, WI 53012
Phone (920) 655-1909
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.
-
- Occupational Therapist
- Grafton, WI
- NPI 1336812775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714348800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714348800000",
"number": "1528814720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2243 MERGANSER CT",
"city": "SUAMICO",
"state": "WI",
"postal_code": "543134030",
"telephone_number": "920-655-1909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W57N14280 DOERR WAY STE 103",
"city": "CEDARBURG",
"state": "WI",
"postal_code": "530123108",
"telephone_number": "920-655-1909"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEVELOPMENT THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-29",
"last_updated": "2024-04-29",
"certification_date": "2024-04-28",
"status": "A",
"authorized_official_last_name": "MCQUILLAN",
"authorized_official_first_name": "MARIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "920-655-1909"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedarburg, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.