Organization Active NPI

Breath of Life LTD

  • Certified Respiratory Therapist
  • Peoria, IL
National Provider Identifier
1982621694
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Respiratory TherapistTaxonomy code 227800000X
Legal business name
BREATH OF LIFE LTD
Practice address
2201 SW Adams St
Peoria, IL 61602-1803
Phone
(309) 676-5645
NPI assigned
Jul 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Pizzarro Juan Pickett, CRT,RCP
Title
Respiratory Therapist
Phone
(309) 645-7430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Respiratory TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 227800000X IL Primary

Addresses

Primary practice location

2201 SW Adams St
Peoria, IL 61602-1803

Mailing address

1418 W Gift Ave
Peoria, IL 61604-2559
Phone (309) 686-7135

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982621694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 W GIFT AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616042559",
            "telephone_number": "309-686-7135",
            "fax_number": "309-686-7133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 SW ADAMS ST",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616021803",
            "telephone_number": "309-676-5645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREATH OF LIFE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PICKETT",
        "authorized_official_first_name": "PIZZARRO",
        "authorized_official_middle_name": "JUAN",
        "authorized_official_title_or_position": "RESPIRATORY THERAPIST",
        "authorized_official_telephone_number": "309-645-7430",
        "authorized_official_credential": "CRT,RCP"
    },
    "taxonomies": [
        {
            "code": "227800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Respiratory Therapist, Certified",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, 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.

Verify at the official NPI Registry.