Active NPI
Sprout Therapy, LLC
- Pediatric Occupational Therapist
- Batavia, IL
National Provider Identifier
1780100313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- Legal business name
- SPROUT THERAPY, LLC
- Practice address
- 807 Bernadette LN
Batavia, IL 60510-3511 - Phone
- (630) 235-0516
- NPI assigned
- Aug 15, 2017
- 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
- Anton Inglese
- Title
- Partner
- Phone
- (630) 235-0516
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | Primary |
Addresses
Primary practice location
807 Bernadette LN
Batavia, IL 60510-3511
Mailing address
807 Bernadette LN
Batavia, IL 60510-3511
Phone (630) 235-0516
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1780100313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "807 BERNADETTE LN",
"city": "BATAVIA",
"state": "IL",
"postal_code": "605103511",
"telephone_number": "630-235-0516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "807 BERNADETTE LN",
"city": "BATAVIA",
"state": "IL",
"postal_code": "605103511",
"telephone_number": "630-235-0516"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPROUT THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-15",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "INGLESE",
"authorized_official_first_name": "ANTON",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "630-235-0516"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Batavia, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.