Kids Thrive Therapy, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

KIDS THRIVE THERAPY, LLC

Practice address

11221 N Blackstone Court
Dunlap, IL 61525

Phone

(309) 253-0113

NPI assigned

Aug 2, 2017

Last updated

Aug 2, 2017By 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

Christine SpanhookNPI 1023022498

Title

Speech Language Pathologist

Phone

(309) 253-0113

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.

• Christine Spanhook, S.T.

  • Speech-Language Pathologist
  • Peoria, IL
  • NPI 1023022498
  NPD Authorized official

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501632000000",
    "number": "1821512674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 184",
            "city": "DUNLAP",
            "state": "IL",
            "postal_code": "615250184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11221 N BLACKSTONE COURT",
            "city": "DUNLAP",
            "state": "IL",
            "postal_code": "61525",
            "telephone_number": "309-253-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS THRIVE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-02",
        "last_updated": "2017-08-02",
        "status": "A",
        "authorized_official_last_name": "SPANHOOK",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "309-253-0113"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kimberly Jenine Johnson, ED.D
• Laurie Michelle Kaplan, RD
• Rimsha Kashif, LMSW
• Amy E Kordonowy
• Michelle Lynn Lizer
• Angela Lollock, RD, IBCLC
• Denise M. Mammolito, M.D.
• Maple Shade Dental (Dunlap) LLC

• Speech-Language Pathologist in Dunlap, IL
• Providers in Dunlap, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2017; 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.