Active NPI
Evelyn P Denny
- Developmental Therapist
- Peoria, IL
National Provider Identifier
1609384122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 5016 N University St Ste 109
Peoria, IL 61614-4763 - Phone
- (309) 258-0084
- Fax
- (866) 319-1546
- NPI assigned
- Jan 18, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Primary |
Addresses
Primary practice location
5016 N University St Ste 109
Peoria, IL 61614-4763
Mailing address
809 Anne St
Washington, IL 61571-9471
Phone (309) 621-3987
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516233600000",
"number": "1609384122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 ANNE ST",
"city": "WASHINGTON",
"state": "IL",
"postal_code": "615719471",
"telephone_number": "309-621-3987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5016 N UNIVERSITY ST STE 109",
"city": "PEORIA",
"state": "IL",
"postal_code": "616144763",
"telephone_number": "309-258-0084",
"fax_number": "866-319-1546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENNY",
"first_name": "EVELYN",
"middle_name": "P",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-18",
"last_updated": "2018-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.