Organization Active NPI

Adr Therapy Inc

  • Speech-Language Pathologist
  • Chicago, IL
National Provider Identifier
1386082980
Registry record updated Jun 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146.010208 Issued in IL
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2013

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)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.