Organization Active NPI

Platinum Pediatric Therapy, Inc.

  • Speech-Language Pathologist
  • Plainfield, IL
National Provider Identifier
1972869550
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
PLATINUM PEDIATRIC THERAPY, INC.
Practice address
12937 Blue Spruce Dr
Plainfield, IL 60585-2979
Phone
(815) 505-4463
NPI assigned
Apr 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Authorized official

Name
Ms. Lora Campbell, MS CCC-SLPNPI 1134118599
Title
President/ SLP
Phone
(815) 505-4463

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary
Early Intervention Provider Agency 252Y00000X 146.005242 IL

Addresses

Primary practice location

12937 Blue Spruce Dr
Plainfield, IL 60585-2979

Mailing address

12937 Blue Spruce Dr
Plainfield, IL 60585-2979
Phone (815) 505-4463

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1333843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740441600000",
    "number": "1972869550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12937 BLUE SPRUCE DR",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605852979",
            "telephone_number": "815-505-4463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12937 BLUE SPRUCE DR",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605852979",
            "telephone_number": "815-505-4463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM PEDIATRIC THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-08",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "LORA",
        "authorized_official_title_or_position": "PRESIDENT/ SLP",
        "authorized_official_telephone_number": "815-505-4463",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "IL",
            "license": "146.005242",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.