NPIMap

Organization Active NPI

Universal Therapy Group LLC

  • Occupational Therapist
  • Burlington, IA
National Provider Identifier
1902190259
Registry record updated Nov 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
001894 Issued in IA
Legal business name
UNIVERSAL THERAPY GROUP LLC
Practice address
2750 Mount Pleasant St
Suite 104
Burlington, IA 52601-2136
Phone
(319) 750-1911
NPI assigned
Jun 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2016

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

Authorized official

Name
Ms. Cinnamon Lynn Villebrun, M.S, B.S, OTR/L
Title
Member
Phone
(319) 750-1911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 001894 IA Primary

Addresses

Primary practice location

2750 Mount Pleasant St
Suite 104
Burlington, IA 52601-2136

Mailing address

2750 Mount Pleasant St
Suite 104
Burlington, IA 52601-2136

National Provider Directory

National Provider Directory

Locations

411 W Agency Rd
Ste 1
West Burlington, IA 52655
Phone (319) 752-7727

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1307145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478736000000",
    "number": "1902190259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 MOUNT PLEASANT ST",
            "address_2": "SUITE 104",
            "city": "BURLINGTON",
            "state": "IA",
            "postal_code": "526012136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 MOUNT PLEASANT ST",
            "address_2": "SUITE 104",
            "city": "BURLINGTON",
            "state": "IA",
            "postal_code": "526012136",
            "telephone_number": "319-750-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL THERAPY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-04",
        "last_updated": "2016-11-10",
        "status": "A",
        "authorized_official_last_name": "VILLEBRUN",
        "authorized_official_first_name": "CINNAMON",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "319-750-1911",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S, B.S, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "001894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; 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.