Amy Broy Dba Developmental Therapy Services

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

AMY BROY DBA DEVELOPMENTAL THERAPY SERVICES

Practice address

610 N Horrell Ave
West Frankfort, IL 62896-1722

Phone

(618) 967-3774

NPI assigned

Dec 1, 2015

Last updated

Dec 1, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amy BroyNPI 1902927429

Title

Developmental Therapist

Phone

(618) 967-3774

Specialties & licenses 1

Addresses

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.

• Amy L Broy, DT

  • Developmental Therapist
  • West Frankfort, IL
  • NPI 1902927429
  NPD (past) Authorized official

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

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448928000000",
    "number": "1659745776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N HORRELL AVE",
            "city": "WEST FRANKFORT",
            "state": "IL",
            "postal_code": "628961722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N HORRELL AVE",
            "city": "WEST FRANKFORT",
            "state": "IL",
            "postal_code": "628961722",
            "telephone_number": "618-967-3774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY BROY DBA DEVELOPMENTAL THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-01",
        "last_updated": "2015-12-01",
        "status": "A",
        "authorized_official_last_name": "BROY",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "DEVELOPMENTAL THERAPIST",
        "authorized_official_telephone_number": "618-967-3774"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allyson Leigh Adkins, PTA
• Jon Adkins, M.ED., QMHP
• Advanced Surgical Technology, LLC (AST Primary Care West Frankfort)
• Hind Al-Sharif, M.D.
• Robert Ames
• Robert L Andrews
• Jason L Antoine
• Khush Asghar, PHARMD, RPH
• Nicole Rae Ashmore, LCPC
• Michael Atkinson

• Early Intervention Provider Agency in West Frankfort, IL
• Providers in West Frankfort, IL by specialty
• Early Intervention Provider Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; 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.