APPLETREE THERAPY SERVICES, LLC. (NPI# 1134442726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134442726 |
| Entity Type | Organization |
| Organization Name | APPLETREE THERAPY SERVICES, LLC. |
| Practice Address |
634 N Main St Suite 5 O Fallon IL 62269-3733 |
| Practice Telephone | 6186900068 |
| Mailing Telephone | 6186900068 |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2010-03-10 |
| Authorized Official Name | STACY E BRAGG (MANAGING MEMBER) |
| Authorized Official Telephone | 3144946337 |
| Authorized Official Credential | MS OTR/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 056005465 | IL | Ambulatory Health Care Facilities |
| Street Address |
634 N MAIN ST SUITE 5 |
| City | O FALLON |
| State | IL |
| Zip Code | 62269-3733 |
| 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 |
| Find all providers in the same location | ||||
| 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 | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740776251 | Christina H Dothager Md LLC | Clinic/Center | 787 Sunset Blvd Ste 200, O Fallon, IL 62269-1960 | 2018-07-09 |
| 1801172168 | Severns Family Chiropractic, LLC | Clinic/Center | 635 W Us Highway 50, O Fallon, IL 62269-1941 | 2011-10-31 |
| 1003091570 | St. Elizabeth Hospital | Clinic/Center | 1512 N Green Mount Rd, Suite 200, O Fallon, IL 62269-1953 | 2008-01-03 |
| 1114120649 | Frontier Integrated Health Center Inc | Clinic/Center | 2011 Highway K, O Fallon, MO 63366-3965 | 2007-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568069805 | Elite Spine & Wellness Center, Inc | Clinic/Center | 5898 Pathfinder Rd, Rockford, IL 61109-4008 | 2020-10-08 |
| 1407453236 | Dirsi, Inc | Clinic/Center | 2112 N Dayton St, Chicago, IL 60614-4302 | 2020-10-05 |
| 1588261770 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 2701 W 68th St Fl 3, Chicago, IL 60629-1813 | 2020-10-01 |
| 1013514298 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 1500 S Fairfield Ave Fl 4, Chicago, IL 60608-1782 | 2020-10-01 |
| 1841804879 | Chicago Poly Clinic LLC | Clinic/Center | 2446 W Devon Ave, Chicago, IL 60659-1913 | 2020-09-08 |
| 1386258226 | Ortho Spine Surgical LLC | Clinic/Center | 1925 E 95th St Ste 220, Chicago, IL 60617-4710 | 2020-09-08 |
| 1821607425 | Desired Medical Services Incorporated | Clinic/Center | 371 Mackinaw Ave, Calumet City, IL 60409-2524 | 2020-07-29 |
| 1639787823 | Md Infusions, Pllc | Clinic/Center | 666 Dundee Rd Ste 1800, Northbrook, IL 60062-2727 | 2020-07-14 |
| 1407474083 | Staten Family Practice Pllc | Clinic/Center | 500 W Virginia Ave, Gillespie, IL 62033-1025 | 2020-07-09 |
| 1629696679 | Serenity Internal Medicine & Wellness Center | Clinic/Center | 3330 W 177th St # 2d-1, Hazel Crest, IL 60429-2184 | 2020-07-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on APPLETREE THERAPY SERVICES, LLC..
| 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.