Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Abc Pediatric Therapy, LLC

Organization Physical Therapist · NPI 1124044698

Abc Pediatric Therapy, LLC is a Physical Therapist in O Fallon, Illinois. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

634 N Main St Ste 3
O Fallon, IL 62269-3746
Phone: (618) 632-4222
Fax: (618) 632-4658
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X
Physical Therapist Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X

Record details

NPI number1124044698
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Bruce — Owner · (618) 632-4222
NPI enumeratedJuly 15, 2006
Last updated in NPPESJune 17, 2011
Mailing address634 N Main St, Suite 3, O Fallon, IL 62269-3746

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