OrganizationActive
Born to Bloom Pediatric Therapy
NPI 1225862337 · Early Intervention Provider Agency · Belleville, IL
Provider details
- NPI number
- 1225862337
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Corin Intrieri, Occupational Therapist(618) 570-1874
Specialties & taxonomies
Agencies
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2431 Glenmount Ct
Belleville, IL 62221-8803
Phone: (618) 570-1874
Street-level locationGet directions
Mailing address
2431 Glenmount Ct
Belleville, IL 62221-8803
Other names (DBA / former)
- Other name
- Born to Bloom Pediatric Therapy
Additional practice locations (1)
- 5370 Kk RdWaterloo, IL 62298-3418Phone: (618) 340-6625
Registry dates
- Enumerated
- 2024-08-29
- Last updated
- 2024-08-29
- Certified
- 2024-08-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.