Teresa O'Connor, DEVELOPMENTAL THERAP

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

License

TO16200606P Issued in IL

Practice address

410 Hessel Blvd
Champaign, IL 61820-6418

Phone

(217) 398-5717

NPI assigned

Dec 22, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1261440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261440000000",
    "number": "1659600674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 HESSEL BLVD",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618206418",
            "telephone_number": "217-398-5717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 HESSEL BLVD",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618206418",
            "telephone_number": "217-398-5717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "TERESA",
        "credential": "DEVELOPMENTAL THERAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-22",
        "last_updated": "2009-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "IL",
            "license": "TO16200606P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Nystrom
• Bienvenu Songo Nzinga, M.D
• Alia O'Brien
• Peter J. O'Brien, D.C.
• Thomas J O'Brien, DO
• Greta Obereiner, APN
• Kate I Oberg, CLS
• Grace Oseiwe Oboh
• Christopher Michael Ochs, LCPC CADC
• Keri Lynn Offenstein, BS MHP

• Developmental Therapist in Champaign, IL
• Providers in Champaign, IL by specialty
• Developmental Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.

Verify at the official NPI Registry.