Sacrae LLC

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Legal business name

SACRAE LLC

Practice address

2661 N Illinois St Ste 126
Swansea, IL 62226-2302

Phone

(618) 550-8898

NPI assigned

May 6, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Paula Jo Rush Shumpert, DTNPI 1598977993

Title

Manager

Phone

(618) 550-8898

Specialties & licenses 1

Addresses

Locations

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.

• Paula Jo Rush Shumpert, DT

  • Developmental Therapist
  • Swansea, IL
  • NPI 1598977993
  NPD (past) Authorized official

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

{
    "created_epoch": "1178409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962614362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1442 SCHWARZ MEADOW DR",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622696709",
            "telephone_number": "618-550-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2661 N ILLINOIS ST STE 126",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262302",
            "telephone_number": "618-550-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRAE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUSH SHUMPERT",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "618-550-8898",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DT"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary L Rovin, D.C.
• Paula Jo Rush Shumpert, DT
• Gillian Joell Russell
• Katelin Lee Ann Russell, DC
• Nadiah Sabrah, MSW, LCSW, THERAPIST
• John Douglas Sadoff, M.D.
• Melody Santos, M.D.
• Dameckia Sattlefield
• Apeksha Saxena-Reddy
• Alisia M Schmidt, PA-C

• Developmental Therapist in Swansea, IL
• Providers in Swansea, IL by specialty
• Developmental Therapist in Illinois

• 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.

Verify at the official NPI Registry.