My Recess Inc

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

MY RECESS INC

Practice address

1601 E Main St
Ste G
St Charles, IL 60174-2431

Phone

(630) 880-0993

NPI assigned

May 28, 2013

Organization subpart

No

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

Authorized official

Name

Brooke Sheree BacksenNPI 1649329103

Title

President

Phone

(312) 841-0993

Specialties & licenses 3

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brooke Sheree Backsen, MOT, OTR/L, RYT

  • Pediatric Occupational Therapist
  • St Charles, IL
  • NPI 1649329103

  Pediatrics

  NPD Authorized official
• Staci M Roth, OTR

  • Occupational Therapist
  • St Charles, IL
  • NPI 1285609420
  NPD (past)

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538006400000",
    "number": "1861839193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 E MAIN ST",
            "address_2": "STE G",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742431",
            "telephone_number": "630-880-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E MAIN ST",
            "address_2": "STE G",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742431",
            "telephone_number": "630-880-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY RECESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-28",
        "last_updated": "2018-09-27",
        "status": "A",
        "authorized_official_last_name": "BACKSEN",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_middle_name": "SHEREE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-841-0993"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura M Murray, MS, LCPC
• Denise Ann Murzyn, M.S. C.C.C./SP
• Annie Marie Musgraves
• Kelsey Musial, APRN, CNP
• Ashley Elizabeth Musser, MT-BC
• Myorthos Illinois Orthodontics PC (Prose Orthodontics)
• Lisa F. Naatz, PSY.D.
• Elizabeth Nakad, LCSW
• Robyn Marie Nall, PT, DPT
• Nancy J. Kuhn, Inc. (St. Charles Counseling)

• Pediatric Occupational Therapist in St Charles, IL
• Providers in St Charles, IL by specialty
• Pediatric Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; 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.