Active NPI
Sensational Kids, LLC
- Occupational Therapist
- Anna, IL
National Provider Identifier
1922100809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Legal business name
- SENSATIONAL KIDS, LLC
- Practice address
- 130 Lick Creek Rd
Anna, IL 62906-3270 - Phone
- (618) 833-4300
- Fax
- (618) 833-4336
- NPI assigned
- Sep 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elizabeth W Wheeler, OTR/L
- Title
- Owner
- Phone
- (618) 833-4300
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | IL | Primary |
Addresses
Primary practice location
130 Lick Creek Rd
Anna, IL 62906-3270
Mailing address
130 Lick Creek Rd
Anna, IL 62906-3270
Phone (618) 833-4300
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 403962444001 | Medicaid | IL | |
| 2828016 | Other | IL | BLUE CROSS/BLUE SHIELD |
| 738815 | Other | IL | HEALTHLINK |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- Anna, IL
- NPI 1982828521
-
- Occupational Therapist
- Anna, IL
- NPI 1568586758
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157155200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1922100809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 LICK CREEK RD",
"city": "ANNA",
"state": "IL",
"postal_code": "629063270",
"telephone_number": "618-833-4300",
"fax_number": "618-833-4336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 LICK CREEK RD",
"city": "ANNA",
"state": "IL",
"postal_code": "629063270",
"telephone_number": "618-833-4300",
"fax_number": "618-833-4336"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SENSATIONAL KIDS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WHEELER",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "618-833-4300",
"authorized_official_credential": "OTR/L"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "403962444001",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "2828016",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "738815",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anna, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.