Katherine Johnson Flentge

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

056007853 Issued in IL

Practice address

2319 N Orchard St
Chicago, IL 60614-3303

Phone

(773) 755-7791

Fax

(773) 755-7792

NPI assigned

Nov 7, 2006

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.

• Aza Chicago Inc.

  • Specialist
  • Chicago, IL
  • NPI 1689031635
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330646400000",
    "number": "1316016017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3818 N OAKLEY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606183814",
            "telephone_number": "312-391-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2319 N ORCHARD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606143303",
            "telephone_number": "773-755-7791",
            "fax_number": "773-755-7792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLENTGE",
        "first_name": "KATHERINE",
        "middle_name": "JOHNSON",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2012-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056007853",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IL",
            "license": "056007853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Fleming, LCPC
• Scott G. Fleming, DDS
• Shannon Fleming
• Sheila M Fleming, LCSW
• Tijuan L Fleming, CADC
• Theresa A Flerick, N.P.
• Alyssa Brennan Flesher, DPT
• Nathan William Flessner, LCSW
• Claire Elizabeth Fletchall
• David Fletcher-Janzen

• Pediatric Occupational Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Pediatric Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; 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.