Active NPI
Adr Therapy Inc
- Speech-Language Pathologist
- Chicago, IL
National Provider Identifier
1386082980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146.010208
- Legal business name
- ADR THERAPY INC
- Practice address
- 4157 N Kenmore Ave
#3S
Chicago, IL 60613-6417 - Phone
- (773) 484-3144
- Fax
- (773) 634-8468
- NPI assigned
- Jun 6, 2013
- Last updated
- Jun 6, 2013
- 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
- Mrs. Amanda Marie Rodiek, CCC-SLP
- Title
- Director
- Phone
- (773) 899-1278
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146.010208 | IL | Primary |
Addresses
Primary practice location
4157 N Kenmore Ave
#3S
Chicago, IL 60613-6417
Mailing address
4157 N Kenmore Ave
#3S
Chicago, IL 60613-6417
Phone (773) 484-3144
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370476800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1370476800000",
"number": "1386082980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4157 N KENMORE AVE",
"address_2": "#3S",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606136417",
"telephone_number": "773-484-3144",
"fax_number": "773-634-8468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4157 N KENMORE AVE",
"address_2": "#3S",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606136417",
"telephone_number": "773-484-3144",
"fax_number": "773-634-8468"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADR THERAPY INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-06-06",
"last_updated": "2013-06-06",
"status": "A",
"authorized_official_last_name": "RODIEK",
"authorized_official_first_name": "AMANDA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "773-899-1278",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146.010208",
"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 Jun 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.