NPIMap

Organization Active NPI

Children's Therapy Center

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Chicago, IL
National Provider Identifier
1255744975
Registry record updated Jun 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
056007283 Issued in IL
Legal business name
CHILDREN'S THERAPY CENTER
Practice address
8729 S Commercial Ave
Store Front
Chicago, IL 60617-3221
Phone
(312) 600-8493
NPI assigned
Jun 10, 2014
Last updated
Jun 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2014

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

Authorized official

Name
Heidi Hollis, OTR/LNPI 1699188300
Title
Co-Owner
Phone
(312) 600-8493

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 056007283 IL Primary

Addresses

Primary practice location

8729 S Commercial Ave
Store Front
Chicago, IL 60617-3221

Mailing address

8729 S Commercial Ave
Store Front
Chicago, IL 60617-3221
Phone (312) 600-8493

National Provider Directory

National Provider Directory
Tax ID family
Childrens Therapy Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1255744975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8729 S COMMERCIAL AVE",
            "address_2": "STORE FRONT",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606173221",
            "telephone_number": "312-600-8493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8729 S COMMERCIAL AVE",
            "address_2": "STORE FRONT",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606173221",
            "telephone_number": "312-600-8493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-10",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "HOLLIS",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "312-600-8493",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "IL",
            "license": "056007283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.