Angela Theresa Parham, RBT

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

4501 Hill Rd
Highland, IL 62249-3519

Phone

(618) 830-6562

NPI assigned

Jul 26, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Early Intervention Services, Inc.

  • Early Intervention Provider Agency
  • Highland, IL
  • NPI 1992244602
  NPD (past)

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1306572003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4348 MANN ST",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604524329",
            "telephone_number": "773-575-2845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 HILL RD",
            "city": "HIGHLAND",
            "state": "IL",
            "postal_code": "622493519",
            "telephone_number": "618-830-6562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4615 W 103rd St",
            "address_purpose": "LOCATION",
            "city": "Oak Lawn",
            "state": "IL",
            "postal_code": "604534718",
            "country_code": "US",
            "telephone_number": "331-218-1712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARHAM",
        "first_name": "ANGELA",
        "middle_name": "THERESA",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-26",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IL",
            "license": "22-226519",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Orozco, M.S. CCC SLP/L
• Ashtyn Orrell
• Osbec Medical of Southern Illinois, LLC
• Mary A. Otis, RPH
• Pamella S Gronemeyer
• Elizabeth Patrick
• PCW PT of Illinois, LLC
• Meghan Perry
• Stephanie Ann Pfeffer, MS CCC-SLP
• Bradley R Pfitzner, OT

• Developmental Therapist in Highland, IL
• Providers in Highland, IL by specialty
• Developmental Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.