Active NPI
Starting Smart LLC
- Pediatric Physical Therapist
- Chicago, IL
National Provider Identifier
1033522362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 070017402
- Legal business name
- STARTING SMART LLC
- Practice address
- 3359 N Seminary Ave # 1
Chicago, IL 60657-2220 - Phone
- (248) 819-0771
- Fax
- (773) 697-4611
- NPI assigned
- Jun 4, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathleen M Henry, PT, DPT
- Title
- Owner, Physical Therapist
- Phone
- (248) 819-0771
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 070017402 | IL | Primary |
Addresses
Primary practice location
3359 N Seminary Ave # 1
Chicago, IL 60657-2220
Mailing address
3359 N Seminary Ave # 1
Chicago, IL 60657-2220
Phone (248) 819-0771
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401840000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1401840000000",
"number": "1033522362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3359 N SEMINARY AVE # 1",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606572220",
"telephone_number": "248-819-0771",
"fax_number": "773-697-4611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3359 N SEMINARY AVE # 1",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606572220",
"telephone_number": "248-819-0771",
"fax_number": "773-697-4611"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STARTING SMART LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-04",
"last_updated": "2014-06-04",
"status": "A",
"authorized_official_last_name": "HENRY",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
"authorized_official_telephone_number": "248-819-0771",
"authorized_official_credential": "PT, DPT"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Pediatrics",
"state": "IL",
"license": "070017402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.