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

Midwest Children's Therapy, PLLC

Organization Physical Therapist · NPI 1881466738

Midwest Children's Therapy, PLLC is a Physical Therapist in East Peoria, Illinois. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

110 Carver Ln
East Peoria, IL 61611-3052
Phone: (716) 308-9301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

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

Record details

NPI number1881466738
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tatum Nichols — Ceo · (716) 308-9301
NPI enumeratedOctober 24, 2023
Last updated in NPPESOctober 24, 2023
Certification dateOctober 24, 2023
Mailing address110 Carver Ln, East Peoria, IL 61611-3052

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