Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
MIDWEST CHILDREN'S THERAPY, PLLC
Active
Organization
MIDWEST CHILDREN'S THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TATUM NICHOLS PT, DPT (CEO)
(716) 308-9301
Entity
Organization
Contact information
Practice address
110 CARVER LN, EAST PEORIA, IL 61611-3052
(716) 308-9301
Mailing address
110 CARVER LN, EAST PEORIA, IL 61611-3052
(716) 308-9301
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up