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THERA-PEDS, LLC
NPI 1962878488
Clinic/Center in Sullivan, MO

Active since August 19, 2015
115 PROGRESS PKWY, SULLIVAN, MO 63080(573) 468-3373 Get Directions Write a Review

NPPES record last updated: December 29, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Thera-peds, Llc NPPES

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

THERA-PEDS, LLC (NPI 1962878488) is a healthcare organization registered as a clinic/center in Sullivan, Missouri and active in the NPI registry since August 2015. The organization lists Laura Peregoy, Manager, as its authorized official.

NPPES Registry Identity

NPI1962878488
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameTHERA-PEDS, LLC
Location Address115 PROGRESS PKWYSullivan, MO 63080-2359
Mailing Address10276 Timmermann LnSullivan, MO 63080-6436
Phone(573) 468-3373
Organization SubpartNo
Authorized OfficialLaura PeregoyManager · (573) 259-1425
Enumeration DateAugust 19, 2015
Last NPPES UpdateDecember 29, 2015
✔ NPI 1962878488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
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).
115 PROGRESS PKWY, Sullivan, MO 63080
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Other Providers at the Same Location NPPES 2

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

LTC PROVIDERS, INC
Durable Medical Equipment & Medical Supplies
115 PROGRESS PKWY
SULLIVAN, MO 63080
Franklin County (573) 860-6800
LTC PROVIDERS, INC.
Durable Medical Equipment & Medical Supplies
115 PROGRESS PKWY
SULLIVAN, MO 63080
Franklin County (573) 860-6800

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 Thera-Peds, LLC's NPI number?

The NPI number for Thera-Peds, LLC is 1962878488. It was assigned to this organization in the NPPES registry on August 19, 2015.

Where is Thera-Peds, LLC located?

Thera-Peds, LLC is located at 115 Progress Pkwy, Sullivan, MO 63080. The listed phone number is (573) 468-3373.

What is Thera-Peds, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Thera-Peds, LLC was last updated on December 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.