KG Therapy PLLC

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

Legal business name

KG THERAPY PLLC

Doing business as

Therapy District

Practice address

1131 McHenry Rd # 107a
Buffalo Grove, IL 60089-1369

Phone

(224) 305-1097

NPI assigned

Oct 26, 2022

Organization subpart

No

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

Authorized official

Name

Gustavo Ocampo

Title

Manager

Phone

(630) 666-2871

Specialties & licenses 2

Addresses

Other names 1

• Therapy District Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michele N Kliminski, DPT

  • Physical Therapist
  • Glenview, IL
  • NPI 1346747888
  Medicare reassignment Care Compare group NPD
• Khusbu Sheth

  • Occupational Therapist
  • Buffalo Grove, IL
  • NPI 1255984605
  Medicare reassignment Care Compare group NPD
• Marvin Galido Ventura, PT

  • Physical Therapist
  • Northbrook, IL
  • NPI 1215077615
  Medicare reassignment Care Compare group NPD
• Donna Ishak

  • Physical Therapist
  • Glenview, IL
  • NPI 1396321360
  Medicare reassignment NPD
• Naha Patel, DPT

  • Physical Therapist
  • Barrington, IL
  • NPI 1548634959
  Medicare reassignment NPD

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

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1366169658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 MCHENRY RD # 107A",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 MCHENRY RD # 107A",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891369",
            "telephone_number": "224-305-1097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KG THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-26",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "OCAMPO",
        "authorized_official_first_name": "GUSTAVO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "630-666-2871"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Therapy District",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Therapy District",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Amina Samreen Khan, ALMFT
• Rafeda Khan
• Valery Kharina
• Tatyana Kholod Sanders
• Gabriel Kibrit, MD

• Physical Rehabilitation Occupational Therapist in Buffalo Grove, IL
• Providers in Buffalo Grove, IL by specialty
• Physical Rehabilitation Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.