Organization Active NPI

Deb Kolak and Associates, LLC

  • Pediatric Occupational Therapist
  • Naperville, IL
National Provider Identifier
1275958662
Registry record updated Mar 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
056001825 Issued in IL
Legal business name
DEB KOLAK AND ASSOCIATES, LLC
Practice address
1750 W Ogden Ave Unit 2081
Naperville, IL 60567-1203
Phone
(331) 213-9951
NPI assigned
Feb 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2014

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

Authorized official

Name
Debra H Kolak, OTR/L
Title
Occupational Therapist
Phone
(331) 213-9951

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XP0200X 056001825 IL Primary

Addresses

Primary practice location

1750 W Ogden Ave Unit 2081
Naperville, IL 60567-1203

Mailing address

1750 W Ogden Ave Unit 2081
Naperville, IL 60567-1203
Phone (331) 213-9951

National Provider Directory

National Provider Directory

Locations

1750 W Ogden Ave
Unit 2081
Naperville, IL 60567
Phone (331) 213-9951

NPI Registry JSON

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

{
    "created_epoch": "1392940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395792000000",
    "number": "1275958662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 W OGDEN AVE UNIT 2081",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605671203",
            "telephone_number": "331-213-9951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 W OGDEN AVE UNIT 2081",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605671203",
            "telephone_number": "331-213-9951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEB KOLAK AND ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-21",
        "last_updated": "2014-03-26",
        "status": "A",
        "authorized_official_last_name": "KOLAK",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "331-213-9951",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IL",
            "license": "056001825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

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