APPLETREE THERAPY SERVICES, LLC (NPI# 1447520168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447520168 |
Entity Type | Organization |
Organization Name | APPLETREE THERAPY SERVICES, LLC |
Practice Address |
634 N Main St Suite 5 O Fallon IL 62269-3746 |
Practice Telephone | 6186900068 |
Mailing Telephone | 6186900068 |
Enumeration Date | 2012-01-11 |
Last Update Date | 2012-01-11 |
Authorized Official Name | MRS. STACEY BRAGG (OWNER/MANAGER) |
Authorized Official Telephone | 6186900068 |
Authorized Official Credential | MS OTR/L |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
056.009598 | IL | Ambulatory Health Care Facilities |
Street Address |
634 N MAIN ST SUITE 5 |
City | O FALLON |
State | IL |
Zip Code | 62269-3746 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124044698 | Abc Pediatric Therapy, LLC | Occupational Therapist | 634 N Main St, Suite 3, O Fallon, IL 62269-3746 | 2006-07-15 |
1053955906 | Dina Breanne Maxine Woodworth | Behavioral Analyst | 634 N Main St, O Fallon, IL 62269-3751 | 2019-11-04 |
1346899317 | Ashley Angela Watschinger | Behavior Technician | 634 N Main St, O Fallon, IL 62269-3751 | 2019-09-11 |
1548826316 | Elizabeth Conroy | Speech-Language Pathologist | 634 N Main St, O Fallon, IL 62269-3751 | 2019-05-16 |
1730742628 | Dominique Williams | Behavioral Analyst | 634 N Main St, O Fallon, IL 62269-3751 | 2019-04-17 |
1235691056 | Sheila Gerilyn Hipskind | Behavior Technician | 634 N Main St, O Fallon, IL 62269-3751 | 2019-04-01 |
1215498225 | Sarah Danielle Miller Salzman | Assistant Behavior Analyst | 634 N Main St, O Fallon, IL 62269-3751 | 2019-03-31 |
1053885749 | Marlon Van Ham | Behavioral Analyst | 634 N Main St, O Fallon, IL 62269-3751 | 2019-01-15 |
1245702869 | Mackenzie Archambo | Behavioral Analyst | 634 N Main St, O Fallon, IL 62269-3751 | 2018-12-20 |
1689165870 | Kendyl Ann Cuddihee | Behavior Technician | 634 N Main St, O Fallon, IL 62269-3746 | 2018-05-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326648155 | Kayla Revermann | Pharmacist | 1350 W Us Highway 50, Pharmacy, O Fallon, IL 62269 | 2020-10-30 |
1942814272 | Ashley Monique Gibson | Behavior Technician | Eagle Center, Ste 10, Ofallon, IL 62269 | 2020-09-03 |
1013533819 | Michelle Denise Voudrie | Registered Nurse | 321 Regency Park, O'fallon, IL 62269 | 2020-06-18 |
1598398455 | Washington University Physicians In Illinois - Cancer Center Pharmacy | Pharmacy | 1418 Cross Street, Suite 180, Shiloh, IL 62269 | 2020-02-19 |
1962063800 | Gerald Paskert | Pharmacist | 122 W. State St., O'fallon, IL 62269 | 2019-06-21 |
1780144808 | Bonnie Jean Lampe | Physical Therapy Assistant | 316 Donna Dr, O'fallon, IL 62269 | 2019-03-24 |
1134633993 | Latisha Smith | Psychologist | 600 S. Smiley St., O'fallon, IL 62269 | 2017-11-30 |
1619407210 | Brenna M Thomas | Registered Nurse | 1310 Engle Ct, O'fallon, IL 62269 | 2017-06-15 |
1881135622 | Pc Associates, LLC | Family Medicine | 800 East Highway 50, O'fallon, IL 62269 | 2017-03-13 |
1700230539 | Jennifer Farrell | Family Medicine | 3 St. Elizabeth's Blvd, Ste. 4000, O'fallon, IL 62269 | 2016-04-18 |
Find all providers in zip 62269 |
Taxonomy Code | 261QR0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation |
Definition to come... |
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---|---|---|---|---|
1033718069 | Ssm Select Rehab St. Louis, LLC | Clinic/Center | 3404 E Terra Ln, O Fallon, MO 63366-4554 | 2020-10-21 |
1326578626 | Elite Physical Therapy of Ofallon, LLC | Clinic/Center | 3074 Winghaven Blvd, O Fallon, MO 63368 | 2017-06-19 |
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1386243020 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 2500 Williamson County Pkwy, Suite B, Marion, IL 62959-5271 | 2020-10-23 |
1336754233 | Rci (wrs), LLC. | Clinic/Center | 5221-23 North Broadway, Chicago, IL 60640 | 2020-09-09 |
1093320855 | Rci (wrs), LLC. | Clinic/Center | 17 West 580 Butterfield Road, Oakbrook Terrace, IL 60181 | 2020-09-09 |
1558975706 | Rci (wrs), LLC. | Clinic/Center | 370 Bank Dr, Mchenry, IL 60050-0506 | 2020-09-04 |
1588278741 | Rci (wrs), LLC. | Clinic/Center | 1151 S State St, Chicago, IL 60605-2304 | 2020-09-04 |
1487268553 | Rci (wrs), LLC. | Clinic/Center | 15 Tower Ct Ste 235, Gurnee, IL 60031-3354 | 2020-09-04 |
1285248351 | Rci (wrs), LLC. | Clinic/Center | 884 S Rand Rd Ste A, Lake Zurich, IL 60047-3412 | 2020-09-04 |
1295349355 | Rci (wrs), LLC. | Clinic/Center | 140 N Addison Ave Fl 2, Elmhurst, IL 60126-2810 | 2020-09-04 |
1043824287 | Rci (wrs), LLC. | Clinic/Center | 1525 E 55th St Ste 305, Chicago, IL 60615-5576 | 2020-09-04 |
1396359469 | Rci (wrs), LLC. | Clinic/Center | 939 W North Ave Ste 300, Chicago, IL 60642-7139 | 2020-09-04 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.