Active NPI
Confident Kids Pediatric Therapy
- Occupational Therapist
- Chicago, IL
National Provider Identifier
1336675644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056.009413
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 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 DirectoryNPI 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.