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

Mitan Pediatric Therapy Inc

Organization Occupational Therapist · NPI 1184704900

Mitan Pediatric Therapy Inc is an Occupational Therapist in Columbia, Illinois. Licensed in Illinois and Missouri. Registered with an NPI since 2006.

Licensed in
IL, MO
In the registry since
2006
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

891 Meadowview Ln
Columbia, IL 62236
Phone: (618) 806-8461
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X (IL)
Occupational Therapist Taxonomy 225X00000X · Licence 2000155595 (MO)

Record details

NPI number1184704900
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robin Mitan — Occupational Therapist · (618) 806-8461
NPI enumeratedOctober 16, 2006
Last updated in NPPESAugust 22, 2020
Mailing address891 Meadowview Lane, Columbia, IL 62236

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