OrganizationActive
Poettker Pediatric Therapy Services, P.C
NPI 1275944175 · Pediatric Occupational Therapist · Aviston, IL
Provider details
- NPI number
- 1275944175
- Entity type
- Organization
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Neely Poettker, Occupational Thearpist(618) 401-3210
- License
- 2013002846 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
14163 Jem Dr
Aviston, IL 62216-3646
Phone: (618) 228-7229
Fax: (618) 228-7229
Street-level locationGet directions
Mailing address
14163 Jem Dr
Aviston, IL 62216-3646
Registry dates
- Enumerated
- 2014-05-13
- Last updated
- 2014-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.