Organization Active NPI

Confident Kids Pediatric Therapy

  • Occupational Therapist
  • Chicago, IL
National Provider Identifier
1336675644
Registry record updated May 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056.009413 Issued in IL
Legal business name
CONFIDENT KIDS PEDIATRIC THERAPY
Practice address
1411 W Farragut Ave Apt 1
Chicago, IL 60640-2103
Phone
(312) 434-6841
NPI assigned
May 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2017

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

Authorized official

Name
Courtney Smith
Title
Occupational Therapist/Owner
Phone
(312) 434-6841

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X 056.009413 IL Primary

Addresses

Primary practice location

1411 W Farragut Ave Apt 1
Chicago, IL 60640-2103

Mailing address

1411 W Farragut Ave Apt 1
Chicago, IL 60640-2103

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1493942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493942400000",
    "number": "1336675644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 W FARRAGUT AVE APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 W FARRAGUT AVE APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402103",
            "telephone_number": "312-434-6841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONFIDENT KIDS PEDIATRIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-05",
        "last_updated": "2017-05-05",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "312-434-6841"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.009413",
            "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 5, 2017; 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.