Modulation Therapy Services LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056009768 Issued in IL

Legal business name

MODULATION THERAPY SERVICES LLC

Practice address

406 Blaine St
Batavia, IL 60510-2909

Phone

(630) 995-1920

NPI assigned

Jul 14, 2016

Organization subpart

No

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

Authorized official

Name

Christina Marie Deano, MS, OTR/LNPI 1437518388

Title

Owner/Occupational Therapist

Phone

(630) 995-1920

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.

• Christina Marie Deano, MS, OTR/L

  • Occupational Therapist
  • Batavia, IL
  • NPI 1437518388
  NPD (past) Authorized official

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

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468454400000",
    "number": "1801249891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 BLAINE ST",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605102909",
            "telephone_number": "630-995-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 BLAINE ST",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605102909",
            "telephone_number": "630-995-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODULATION THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-14",
        "last_updated": "2016-07-14",
        "status": "A",
        "authorized_official_last_name": "DEANO",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "630-995-1920",
        "authorized_official_credential": "MS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056009768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Irene Mereness
• Mettashuttle Corporation
• Shannon Meyer
• Kelly Mikoda, M. A. CCC-SLP
• Diane F Mittelhauser, PSYD
• Rebecca R Mohan
• Brittany Mollenhauer
• Ayarri Moore
• Colin Lance Moore, BCBA
• Laura Beth Moore, M.S. CFY-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; 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.