Active NPI
MCB Therapy Services,Inc.
- Early Intervention Provider Agency
- Bloomington, IN
National Provider Identifier
1568602175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- License
- 05006267A
- Legal business name
- MCB THERAPY SERVICES,INC.
- Practice address
- 341 S Woodfield LN
Bloomington, IN 47403-9070 - Phone
- (812) 361-1648
- Fax
- (812) 825-8815
- NPI assigned
- Feb 23, 2009
- 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
- Mrs. Maria Cielito Berin, PT
- Title
- Ceo
- Phone
- (812) 361-1648
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | 05006267A | IN | Primary |
Addresses
Primary practice location
341 S Woodfield LN
Bloomington, IN 47403-9070
Mailing address
341 S Woodfield LN
Bloomington, IN 47403-9070
Phone (812) 361-1648
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.
-
- Pediatric Physical Therapist
- Bloomington, IN
- NPI 1861544959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235347200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1235347200000",
"number": "1568602175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "341 S WOODFIELD LN",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474039070",
"telephone_number": "812-361-1648",
"fax_number": "812-825-8815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "341 S WOODFIELD LN",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474039070",
"telephone_number": "812-361-1648",
"fax_number": "812-825-8815"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCB THERAPY SERVICES,INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-23",
"last_updated": "2009-02-23",
"status": "A",
"authorized_official_last_name": "BERIN",
"authorized_official_first_name": "MARIA",
"authorized_official_middle_name": "CIELITO",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "812-361-1648",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "IN",
"license": "05006267A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.