OrganizationActive
Play Well Pediatric Therapy, LLC
NPI 1356712624 · Pediatric Occupational Therapist · Washington, IL
Provider details
- NPI number
- 1356712624
- Entity type
- Organization
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Kimberly Peterson, Pediatric Occupational Therapist(309) 846-6664
- License
- 056.009667 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
804 Dallas Rd
Washington, IL 61571-9230
Phone: (309) 846-6664
Street-level locationGet directions
Mailing address
804 Dallas Rd
Washington, IL 61571-9230
Registry dates
- Enumerated
- 2015-10-13
- Last updated
- 2015-10-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.