Prevention Work, Inc

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056000256 Issued in IN

Legal business name

PREVENTION WORK, INC

Practice address

1049 Redondo Dr
Romeoville, IL 60446-3705

Phone

(815) 886-5982

Fax

(815) 886-5983

NPI assigned

Jan 9, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Terry Roat, OTR

Title

President

Phone

(630) 548-2520

Specialties & licenses 6

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366934400000",
    "number": "1235288119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23005 S KENT RD",
            "city": "CHANNAHON",
            "state": "IL",
            "postal_code": "604103019",
            "telephone_number": "815-467-3831",
            "fax_number": "815-467-3989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 REDONDO DR",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604463705",
            "telephone_number": "815-886-5982",
            "fax_number": "815-886-5983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENTION WORK, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2013-04-26",
        "status": "A",
        "authorized_official_last_name": "ROAT",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-548-2520",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "057000054",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.003158",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "870002850",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160000783",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "056000256",
            "primary": true
        },
        {
            "code": "225XE1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Ergonomics",
            "state": "IL",
            "license": "0560000256",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPY",
            "identifier": "22",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2013; 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.