Organization Active NPI

Time Out Therapy Service

  • Case Manager/Care Coordinator
  • Geneva, IL
National Provider Identifier
1114105368
Registry record updated Feb 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
TIME OUT THERAPY SERVICE
Practice address
1770 S Randall Rd
A208
Geneva, IL 60134-4646
Phone
(630) 896-2617
Fax
(630) 896-2617
NPI assigned
Feb 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2008

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

Authorized official

Name
Ms. Maria O Topps, MS
Title
Program Coordinator
Phone
(630) 417-7555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X Primary

Addresses

Primary practice location

1770 S Randall Rd
A208
Geneva, IL 60134-4646

Mailing address

1770 S Randall Rd
A208
Geneva, IL 60134-4646
Phone (630) 896-2617

National Provider Directory

National Provider Directory

Locations

1770 S Randall Rd
#A208
Geneva, IL 60134
Phone (630) 896-2617

NPI Registry JSON

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1114105368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 S RANDALL RD",
            "address_2": "A208",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344646",
            "telephone_number": "630-896-2617",
            "fax_number": "630-896-2617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 S RANDALL RD",
            "address_2": "A208",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344646",
            "telephone_number": "630-896-2617",
            "fax_number": "630-896-2617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIME OUT THERAPY SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "TOPPS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PROGRAM COORDINATOR",
        "authorized_official_telephone_number": "630-417-7555",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.