NPIMap

Organization Active NPI

Center for Independence Through Conductive Education Inc

Doing business as Center for Independence

  • Occupational Therapist
  • Countryside, IL
National Provider Identifier
1114083672
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
CENTER FOR INDEPENDENCE THROUGH CONDUCTIVE EDUCATION INC
Doing business as
Center for Independence
Practice address
100 W Plainfield Rd
Countryside, IL 60525-2869
Phone
(708) 588-0833
Fax
(708) 588-0406
NPI assigned
Dec 29, 2006
Last updated
Jan 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Authorized official

Name
Patricia Herbst
Title
Executive Director
Phone
(708) 588-0833

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225X00000X Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

100 W Plainfield Rd
Countryside, IL 60525-2869

Mailing address

100 W Plainfield Rd Ste 100
Countryside, IL 60525-2654
Phone (708) 588-0833

Other names 1

  • Center for Independence Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250108002122 IL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8628506391 Receives reassigned benefits from 4 practitioners
Practice locations: Countryside, IL

National Provider Directory

National Provider Directory

Locations

2701 W 36th Pl
Chicago, IL 60632

100 W Plainfield Rd
Countryside, IL 60525
Phone (708) 588-0833

100 W Plainfield Rd
Ste 100
Countryside, IL 60525
Phone (708) 588-0833

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735776000000",
    "number": "1114083672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W PLAINFIELD RD STE 100",
            "city": "COUNTRYSIDE",
            "state": "IL",
            "postal_code": "605252654",
            "telephone_number": "708-588-0833",
            "fax_number": "708-588-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W PLAINFIELD RD",
            "city": "COUNTRYSIDE",
            "state": "IL",
            "postal_code": "605252869",
            "telephone_number": "708-588-0833",
            "fax_number": "708-588-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR INDEPENDENCE THROUGH CONDUCTIVE EDUCATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A",
        "authorized_official_last_name": "HERBST",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "708-588-0833"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Independence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Countryside, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.