Champaign County YMCA

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

CHAMPAIGN COUNTY YMCA

Doing business as

Stephens Family YMCA

Practice address

2501 Fields South Dr
Champaign, IL 61822-3733

Phone

(217) 239-2803

NPI assigned

Apr 23, 2013

Organization subpart

No

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

Authorized official

Name

Kim Webb

Title

Coo

Phone

(217) 239-2803

Specialties & licenses 3

Addresses

Other names 1

• Stephens Family YMCA Doing business as

Locations

Practitioners 2

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.

• Cynthia Ann Aubry

  • Pediatric Occupational Therapist
  • Champaign, IL
  • NPI 1689255572
  NPD (past)
• Melissa Anne Smith

  • Nutritionist
  • Champaign, IL
  • NPI 1164073979
  NPD (past)

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

{
    "created_epoch": "1366675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366675200000",
    "number": "1659715498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 FIELDS SOUTH DR",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618223733",
            "telephone_number": "217-239-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 FIELDS SOUTH DR",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618223733",
            "telephone_number": "217-239-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPAIGN COUNTY YMCA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-23",
        "last_updated": "2013-04-23",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "217-239-2803"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Music Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stephens Family YMCA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Champaign Clinic Inc (Champaign Chiropractic Clinic)
• Champaign County Health Care Consumers
• Champaign Cu School District
• Champaign Endodontics PLLC
• Champaign Integrative Clinic, PLLC
• Champaign Rehabilitation Center LLC
• Champaign Surgicenter, LLC (Champaign Endoscopy Center)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; 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.