ABC PEDIATRIC THERAPY, LLC
NPI 1124044698
Speech-Language Pathologist in O Fallon, IL

Q: What is Abc Pediatric Therapy, LLC's NPI number?

The NPI number for Abc Pediatric Therapy, LLC is 1124044698. It was assigned to this organization in the NPPES registry on July 15, 2006.

Q: What is Abc Pediatric Therapy, LLC's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Active since July 15, 2006

634 N MAIN ST, SUITE 3, O FALLON, IL 62269(618) 632-4222(618) 632-4658 Get Directions Write a Review

NPPES record last updated: June 17, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Abc Pediatric Therapy, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ABC PEDIATRIC THERAPY, LLC (NPI 1124044698) is a healthcare organization registered as a speech-language pathologist in O Fallon, Illinois and active in the NPI registry since July 2006. The organization lists Amy L. Bruce, Owner, as its authorized official.

NPPES Registry Identity

NPI1124044698

Entity TypeOrganization

Primary Taxonomy235Z00000X

Legal Business NameABC PEDIATRIC THERAPY, LLC

Location Address634 N MAIN ST, SUITE 3O Fallon, IL 62269-3746

Mailing Address634 N Main St, Suite 3O Fallon, IL 62269-3746 · (618) 632-4222 · Fax (618) 632-4658

Phone(618) 632-4222

Fax(618) 632-4658

Organization SubpartNo

Authorized OfficialAmy L. BruceOwner · (618) 632-4222

Enumeration DateJuly 15, 2006

Last NPPES UpdateJune 17, 2011

✔ NPI 1124044698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Also ListedPhysical TherapistTaxonomy 225100000X

Also ListedOccupational TherapistTaxonomy 225X00000X

634 N MAIN ST, O Fallon, IL 62269

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Other Identifiers 2

Other08232136IL · Blue Cross Blue Shield

Medicaid348620164001IL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH DIVINE

Behavior Technician

634 N MAIN ST
O FALLON, IL 62269

St. Clair County (618) 726-5870

AMBER CHAPPELL.

Speech-Language Pathologist

634 N MAIN ST, SUITE 3
O FALLON, IL 62269

St. Clair County (618) 632-4222

AMANDA TERSTRIEP OT

Occupational Therapist

634 N MAIN ST, SUITE 5
O FALLON, IL 62269

St. Clair County (618) 690-0068

SHAUNA RITTENHOUSE OTR/L

Occupational Therapist (Pediatrics)

634 N MAIN ST, STE 1
O FALLON, IL 62269

St. Clair County (618) 690-0068

MARLON VAN HAM

Behavior Analyst

634 N MAIN ST
O FALLON, IL 62269

St. Clair County (618) 726-5870

MISS DINA BREANNE MAXINE WOODWORTH

Behavior Analyst

634 N MAIN ST
O FALLON, IL 62269

St. Clair County (618) 726-0701

ANDREA BAKOS

Behavior Technician

634 N MAIN ST
O FALLON, IL 62269

St. Clair County (618) 726-5870

MEAGAN CHRISTINE WRIGHT

Speech-Language Pathologist

634 N MAIN ST
O FALLON, IL 62269

St. Clair County (618) 632-4222

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Abc Pediatric Therapy, LLC's NPI number?

The NPI number for Abc Pediatric Therapy, LLC is 1124044698. It was assigned to this organization in the NPPES registry on July 15, 2006.

Where is Abc Pediatric Therapy, LLC located?

Abc Pediatric Therapy, LLC is located at 634 N Main St Suite 3, O Fallon, IL 62269. The listed phone number is (618) 632-4222.

What is Abc Pediatric Therapy, LLC's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Abc Pediatric Therapy, LLC was last updated on June 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.