Organization Active NPI

Team Therapy, Inc

  • Speech-Language Pathologist
  • Wauconda, IL
National Provider Identifier
1356424774
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
TEAM THERAPY, INC
Practice address
2548 Savanna Dr
Wauconda, IL 60084-5009
Phone
(847) 340-0886
Fax
(847) 487-4022
NPI assigned
Oct 21, 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
Mrs. Rachael A Gere, M.S. CCC-SLP/LNPI 1457577520
Title
President
Phone
(847) 340-0886

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)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X IL Primary

Addresses

Primary practice location

2548 Savanna Dr
Wauconda, IL 60084-5009

Mailing address

2548 Savanna Dr
Wauconda, IL 60084-5009
Phone (847) 340-0886

Other identifiers 1

IdentifierTypeStateIssuer
4932373OtherILBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356424774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2548 SAVANNA DR",
            "city": "WAUCONDA",
            "state": "IL",
            "postal_code": "600845009",
            "telephone_number": "847-340-0886",
            "fax_number": "847-487-4022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2548 SAVANNA DR",
            "city": "WAUCONDA",
            "state": "IL",
            "postal_code": "600845009",
            "telephone_number": "847-340-0886",
            "fax_number": "847-487-4022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAM THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GERE",
        "authorized_official_first_name": "RACHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-340-0886",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S. CCC-SLP/L"
    },
    "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",
            "identifier": "4932373",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauconda, 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.