Therapy Yoga Gymnastics Rocks LLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

056.001897 Issued in IL

Legal business name

THERAPY YOGA GYMNASTICS ROCKS LLC

Practice address

1845 Raymond Dr
Northbrook, IL 60062-6712

Phone

(847) 414-1057

NPI assigned

Jul 26, 2010

Organization subpart

No

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

Authorized official

Name

Dala Aavik Lucas, OTR/L

Title

Manager

Phone

(847) 414-1057

Specialties & licenses 1

Addresses

Other names 1

• TYGR Doing business as

Locations

Practitioners 1

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

• Rebekka Vail Ostergaard, P.T.

  • Physical Therapist
  • Northbrook, IL
  • NPI 1538445838
  NPD (past)

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319241600000",
    "number": "1124331608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3344 BELLWOOD LN",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600261528",
            "telephone_number": "773-878-1901",
            "fax_number": "773-572-4886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 RAYMOND DR",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600626712",
            "telephone_number": "847-414-1057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY YOGA GYMNASTICS ROCKS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-26",
        "last_updated": "2011-10-22",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "DALA",
        "authorized_official_middle_name": "AAVIK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-414-1057",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IL",
            "license": "056.001897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TYGR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Renfrew Center of Illinois
• The Renfrew Centers, Inc.
• The Ruth Institute of Integrative Care LLC
• Cherryl Rafael Theanchai, DPT
• Elizabeth Theodosakis, PSY.D., LCPC, CADC
• Jennifer Thibault
• Azzrah Thobani, OD, FAAO
• Thomas Lim Orthodontics LTD
• Jeena Mary Thomas, PA-C
• Kimberly Thomas

• Pediatric Occupational Therapist in Northbrook, IL
• Providers in Northbrook, 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 Oct 22, 2011; 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.