NPIMap

Organization Active NPI

Creative Therapy Resource, LTD

  • Specialist
  • Riverwoods, IL
National Provider Identifier
1366729105
Registry record updated Nov 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
060009018 Issued in IL
Legal business name
CREATIVE THERAPY RESOURCE, LTD
Practice address
1125 Milwaukee Ave
Riverwoods, IL 60015-3512
Phone
(847) 520-9038
Fax
(847) 520-9039
NPI assigned
Nov 8, 2011
Last updated
Nov 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2011

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

Authorized official

Name
Cynthia Flosi, DPTNPI 1821198961
Title
President
Phone
(847) 390-0999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 060009018 IL Primary

Addresses

Primary practice location

1125 Milwaukee Ave
Riverwoods, IL 60015-3512

Mailing address

1125 Milwaukee Ave
Riverwoods, IL 60015-3512
Phone (847) 520-9038

Other identifiers 1

IdentifierTypeStateIssuer
060009018OtherILILLINOIS PROFESSIONAL CORPORATE LICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1320710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320710400000",
    "number": "1366729105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 MILWAUKEE AVE",
            "city": "RIVERWOODS",
            "state": "IL",
            "postal_code": "600153512",
            "telephone_number": "847-520-9038",
            "fax_number": "847-520-9039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 MILWAUKEE AVE",
            "city": "RIVERWOODS",
            "state": "IL",
            "postal_code": "600153512",
            "telephone_number": "847-520-9038",
            "fax_number": "847-520-9039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE THERAPY RESOURCE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-08",
        "last_updated": "2011-11-08",
        "status": "A",
        "authorized_official_last_name": "FLOSI",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-390-0999",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "060009018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS PROFESSIONAL CORPORATE LICENSE",
            "identifier": "060009018",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverwoods, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; 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.