Organization Active NPI

Little Feet, Big Steps Pediatric Therapy, Inc.

  • Pediatric Occupational Therapist
  • Westmont, IL
National Provider Identifier
1073709291
Registry record updated Nov 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
056-005762 Issued in IL
Legal business name
LITTLE FEET, BIG STEPS PEDIATRIC THERAPY, INC.
Practice address
15 S Grant St
Westmont, IL 60559-1803
Phone
(630) 202-5502
Fax
(630) 202-5502
NPI assigned
Sep 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2010

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

Authorized official

Name
Mrs. Deborah Myszkowski, OTR/L
Title
President
Phone
(630) 202-5502

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XP0200X 056-005762 IL Primary
Home Health Agency 251E00000X

Addresses

Primary practice location

15 S Grant St
Westmont, IL 60559-1803

Mailing address

15 S Grant St
Westmont, IL 60559-1803
Phone (630) 202-5502

Other identifiers 1

IdentifierTypeStateIssuer
0002233306OtherILBCBS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289520000000",
    "number": "1073709291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 S GRANT ST",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591803",
            "telephone_number": "630-202-5502",
            "fax_number": "630-262-8231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 S GRANT ST",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591803",
            "telephone_number": "630-202-5502",
            "fax_number": "630-202-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE FEET, BIG STEPS PEDIATRIC THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2010-11-12",
        "status": "A",
        "authorized_official_last_name": "MYSZKOWSKI",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-202-5502",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IL",
            "license": "056-005762",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0002233306",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westmont, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; 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.