Abc Pediatric Therapy, LLC
Abc Pediatric Therapy, LLC is a healthcare organization registered as Speech-Language Pathologist in O Fallon, IL, holding Type 2 (organization) NPI 1124044698 since 2006. The authorized official on file is Amy Bruce, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1124044698 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Abc Pediatric Therapy, LLC |
| Practice address | 634 N MAIN ST, SUITE 3, O Fallon, IL, 62269 |
| Phone | 6186324222 |
| Fax | 6186324658 |
| Enumeration date | 2006-07-15 |
| Last updated in NPPES | 2011-06-17 |
Authorized official
| Name | Amy Bruce |
|---|---|
| Title | Owner |
| Phone | 6186324222 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | Secondary | — | — |
| 225100000X | Physical Therapist | Secondary | — | — |
| 235Z00000X | Speech-Language Pathologist | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08232136 | Other | IL | BLUE CROSS BLUE SHIELD |
| 348620164001 | Medicaid | IL | — |
Copy-ready billing details
Provider: Abc Pediatric Therapy, LLC NPI: 1124044698 Taxonomy: 235Z00000X (Speech-Language Pathologist) Address: 634 N MAIN ST, SUITE 3, O Fallon, IL, 62269
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1023135647 | Amanda Terstriep | Individual | Occupational Therapist | O Fallon, IL |
Verify this record
Cross-check NPI 1124044698 against the authoritative CMS record: view Abc Pediatric Therapy, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Abc Pediatric Therapy, LLC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-09. Provider record last updated 2011-06-17.