Individual provider Active NPI

Kenneth Robert Ford

  • Driving and Community Mobility Occupational Therapy Assistant
  • Chicago, IL
National Provider Identifier
1306693163
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Driving and Community Mobility Occupational Therapy AssistantTaxonomy code 224ZR0403X
Practice address
1440 W Taylor St # 1290
Chicago, IL 60607-4623
Phone
(630) 561-4540
NPI assigned
May 1, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driving and Community Mobility Occupational Therapy Assistant 224ZR0403X Primary

Addresses

Primary practice location

1440 W Taylor St # 1290
Chicago, IL 60607-4623

Mailing address

7427 S South Shore Dr Apt 2D
Chicago, IL 60649-3815
Phone (630) 561-4540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1306693163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7427 S SOUTH SHORE DR APT 2D",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606493815",
            "telephone_number": "630-561-4540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 W TAYLOR ST # 1290",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606074623",
            "telephone_number": "630-561-4540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "KENNETH",
        "middle_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224ZR0403X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant, Driving and Community Mobility",
            "state": null,
            "license": null,
            "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 May 1, 2024; 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.