Active NPI
Therapeutic Techniques, Inc.
- Home Health Agency
- South Holland, IL
National Provider Identifier
1356391452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 056002350
- Legal business name
- THERAPEUTIC TECHNIQUES, INC.
- Practice address
- 16820 Manor Dr
South Holland, IL 60473-4608 - Phone
- (708) 474-6590
- Fax
- (708) 474-6599
- NPI assigned
- May 11, 2006
- 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
- Ms. Donna Yudora Roundtree, OTR/L
- Title
- President/Director
- Phone
- (708) 414-6590
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 056002350 | IL | Primary |
Addresses
Primary practice location
16820 Manor Dr
South Holland, IL 60473-4608
Mailing address
PO Box 1836
Calumet City, IL 60409-7836
Phone (708) 474-6590
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0163598 | Other | IL | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- South Holland, IL
- NPI 1114141405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1224547200000",
"number": "1356391452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1836",
"city": "CALUMET CITY",
"state": "IL",
"postal_code": "604097836",
"telephone_number": "708-474-6590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16820 MANOR DR",
"city": "SOUTH HOLLAND",
"state": "IL",
"postal_code": "604734608",
"telephone_number": "708-474-6590",
"fax_number": "708-474-6599"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THERAPEUTIC TECHNIQUES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-11",
"last_updated": "2008-10-21",
"status": "A",
"authorized_official_last_name": "ROUNDTREE",
"authorized_official_first_name": "DONNA",
"authorized_official_middle_name": "YUDORA",
"authorized_official_title_or_position": "PRESIDENT/DIRECTOR",
"authorized_official_telephone_number": "708-414-6590",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "OTR/L"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "IL",
"license": "056002350",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0163598",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Holland, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.