Pediatrics in Motion

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

PEDIATRICS IN MOTION

Practice address

36550 N Hunt Club Rd
Suite PFP
Gurnee, IL 60031-1633

Phone

(262) 206-1567

Fax

(262) 248-9479

NPI assigned

Feb 4, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Amanda J Braden, OTR/L

Title

Occupational Therapist

Phone

(262) 206-1567

Specialties & licenses 3

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sue Aileen Lutz, PT

  • Physical Therapist
  • Gurnee, IL
  • NPI 1003080300
  NPD (past)
• Kathryn Renee Pierce-Church, P.T.

  • Pediatric Physical Therapist
  • Gurnee, IL
  • NPI 1285806042

  Pediatrics

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1003094996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306",
            "city": "WADSWORTH",
            "state": "IL",
            "postal_code": "600830306",
            "telephone_number": "262-206-1567",
            "fax_number": "262-248-9479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36550 N HUNT CLUB RD",
            "address_2": "SUITE PFP",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600311633",
            "telephone_number": "262-206-1567",
            "fax_number": "262-248-9479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRICS IN MOTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "BRADEN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "262-206-1567",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Twisha Patel
• Kristin Evelyn Patten, MA, LCPC
• Matthew D. Pearce, M.D.
• Pearle Vision
• April Ann Pearson, RN IBCLC
• Marie Pedrola, OT
• Joan Pelayo, PT, DPT
• Gerardo Perez- Espindola, DPM
• Lauren Rachel Pettersen, BA
• Catherine Dang-Chau Phan, DDS

• Pediatric Occupational Therapist in Gurnee, IL
• Providers in Gurnee, IL by specialty
• Pediatric Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.