Organization Active NPI

TLC Therapy, LTD.

  • Speech-Language Pathologist
  • Plainfield, IL
National Provider Identifier
1326132812
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
TLC THERAPY, LTD.
Practice address
12843 Bradford Lane
Plainfield, IL 60585-2245
Phone
(815) 546-1838
Fax
(815) 609-3739
NPI assigned
Oct 2, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Tammy Lee Cienkus, CCC/SLP
Title
President
Phone
(815) 546-1838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X IL Primary

Addresses

Primary practice location

12843 Bradford Lane
Plainfield, IL 60585-2245

Mailing address

12843 Bradford Lane
Plainfield, IL 60585-2245
Phone (815) 546-1838

Other identifiers 1

IdentifierTypeStateIssuer
9932132OtherILBLUE CROSS/BLUE SHIELD ID

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326132812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12843 BRADFORD LANE",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605852245",
            "telephone_number": "815-546-1838",
            "fax_number": "815-609-3739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12843 BRADFORD LANE",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605852245",
            "telephone_number": "815-546-1838",
            "fax_number": "815-609-3739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC THERAPY, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CIENKUS",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-546-1838",
        "authorized_official_credential": "CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD ID",
            "identifier": "9932132",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.