OrganizationActive
Thera-Peds, LLC
NPI 1962878488 · Clinic/Center · Sullivan, MO
Provider details
- NPI number
- 1962878488
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Laura Peregoy, Manager(573) 259-1425
Specialties & taxonomies
Ambulatory Health Care Facilities
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
115 Progress Pkwy
Sullivan, MO 63080-2359
Phone: (573) 468-3373
Street-level locationGet directions
Mailing address
10276 Timmermann Ln
Sullivan, MO 63080-6436
Registry dates
- Enumerated
- 2015-08-19
- Last updated
- 2015-12-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.