Mackenzie Baldock, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056012879 Issued in IL

Practice address

110 Carver LN
East Peoria, IL 61611-3052

Phone

(309) 282-6704

NPI assigned

Jul 10, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Midwest Children's Therapy, PLLC

  • Physical Therapist
  • East Peoria, IL
  • NPI 1881466738

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1499644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1801318050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 CARVER LN",
            "city": "EAST PEORIA",
            "state": "IL",
            "postal_code": "616113052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CARVER LN",
            "city": "EAST PEORIA",
            "state": "IL",
            "postal_code": "616113052",
            "telephone_number": "309-282-6704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDOCK",
        "first_name": "MACKENZIE",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-10",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IL",
            "license": "56.012879",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056012879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://muellerpeds.com/",
            "affiliation": "N",
            "endpointDescription": "Website URL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "110 Carver Ln",
            "city": "East Peoria",
            "state": "IL",
            "country_code": "US",
            "postal_code": "616113052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jayne Armitage-Terrian
• Kwame Asante Ababio, DMD
• Associated Hearing AIDS of Peoria (Miracle Ear Centers)
• Brody Atherton
• Abby Bailey
• Vani M Baldwin, DDS
• Stephanie Barb
• Elise J Bartman, OTR
• Lindsey K Beeney
• Belcrest Services, LTD (Proctor First Care)

• Occupational Therapist in East Peoria, IL
• Providers in East Peoria, 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 2, 2025; 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.