Individual provider Active NPI

Torie Ploch, COTA

  • Driving and Community Mobility Occupational Therapy Assistant
  • Peru, IL
National Provider Identifier
1821560988
Registry record updated Jan 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Driving and Community Mobility Occupational Therapy AssistantTaxonomy code 224ZR0403X
License
7470 Issued in AZ
Practice address
1627 27TH St
Peru, IL 61354-1391
Phone
(815) 481-6893
NPI assigned
Dec 28, 2018
Last updated
Jan 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driving and Community Mobility Occupational Therapy Assistant 224ZR0403X 7470 AZ Primary

Addresses

Primary practice location

1627 27TH St
Peru, IL 61354-1391

Mailing address

1627 27TH St
Peru, IL 61354-1391
Phone (815) 481-6893

Other practice location 1

4309 E Florian Ave
Mesa, AZ 85206-2798
Phone (480) 528-2746

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7470AZMDDriving and Community Mobility Occupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1545955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547164800000",
    "number": "1821560988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1627 27TH ST",
            "city": "PERU",
            "state": "IL",
            "postal_code": "613541391",
            "telephone_number": "815-481-6893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1627 27TH ST",
            "city": "PERU",
            "state": "IL",
            "postal_code": "613541391",
            "telephone_number": "815-481-6893"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4309 E Florian Ave",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852062798",
            "country_code": "US",
            "telephone_number": "480-528-2746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLOCH",
        "first_name": "TORIE",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-28",
        "last_updated": "2019-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224ZR0403X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant, Driving and Community Mobility",
            "state": "AZ",
            "license": "7470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peru, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.