Organization Active NPI

Launch Pediatric Therapy

  • Pediatric Occupational Therapist
  • Peoria, IL
National Provider Identifier
1821555996
Registry record updated Feb 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
LAUNCH PEDIATRIC THERAPY
Practice address
423 W Glen Ave
Peoria, IL 61614-4909
Phone
(847) 521-0037
NPI assigned
Feb 25, 2019
Last updated
Feb 25, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2019

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

Authorized official

Name
Hannah Lange, MOTNPI 1811216773
Title
Owner/Occupational Therapist
Phone
(847) 521-0037

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X NU Primary

Addresses

Primary practice location

423 W Glen Ave
Peoria, IL 61614-4909

Mailing address

423 W Glen Ave
Peoria, IL 61614-4909
Phone (847) 521-0037

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551052800000",
    "number": "1821555996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 W GLEN AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616144909",
            "telephone_number": "847-521-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 W GLEN AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616144909",
            "telephone_number": "847-521-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUNCH PEDIATRIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-25",
        "last_updated": "2019-02-25",
        "status": "A",
        "authorized_official_last_name": "LANGE",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "OWNER/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "847-521-0037",
        "authorized_official_credential": "MOT"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; 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.