# ON TRACK PEDIATRIC THERAPY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** On Track Pediatric Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285469957
- **Authorized official:** MR. BRANDON VALLEY (SYSTEMS DIRECTOR)
- **Authorized official phone:** (636) 252-4464

## Contact information

- **Practice address:** 54 THE LEGENDS PKWY STE 157, EUREKA, MO 63025-3803
- **Practice address phone:** (636) 252-4464
- **Practice address fax:** (636) 442-1455
- **Mailing address:** 10064 KEUSS FARMS DR, RICHWOODS, MO 63071-2379
- **Mailing address phone:** (636) 252-4464
- **Mailing address fax:** (636) 442-1455

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 103K00000X | Behavior Analyst | — | NULL | — |
| 103K00000X | Behavior Analyst | — | — | — |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | Yes |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | — | NULL | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 09/03/2024
- **Last updated:** 06/10/2026