NPIMap

Organization Active NPI

Spot 4 Kids, Inc.

  • Physical Therapy Clinic/Center
  • Oswego, IL
National Provider Identifier
1225157696
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SPOT 4 KIDS, INC.
Practice address
29D Stonehill Rd
Oswego, IL 60543-9449
Phone
(630) 554-6156
Fax
(630) 554-6378
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Elisabeth M. Vanboekel, PTNPI 1336244987
Title
President
Phone
(630) 554-6156

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X IL Primary

Addresses

Primary practice location

29D Stonehill Rd
Oswego, IL 60543-9449

Mailing address

29D Stonehill Rd
Oswego, IL 60543-9449
Phone (630) 554-6156

Other identifiers 1

IdentifierTypeStateIssuer
4520064OtherILBCBS OF ILLINOIS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 24

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 24

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225157696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29D STONEHILL RD",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605439449",
            "telephone_number": "630-554-6156",
            "fax_number": "630-554-6378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29D STONEHILL RD",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605439449",
            "telephone_number": "630-554-6156",
            "fax_number": "630-554-6378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPOT 4 KIDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VANBOEKEL",
        "authorized_official_first_name": "ELISABETH",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-554-6156",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ILLINOIS",
            "identifier": "4520064",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.