Elgin Pediatric Therapy Inc

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

ELGIN PEDIATRIC THERAPY INC

Practice address

1015 Summit St
Elgin, IL 60120-4362

Phone

(847) 750-6392

Fax

(847) 628-0169

NPI assigned

Jan 3, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Rebecca Sheade

Title

Owner

Phone

(847) 612-0530

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325548800000",
    "number": "1396015780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 SUMMIT ST",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601204362",
            "telephone_number": "847-750-6392",
            "fax_number": "847-628-0169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 SUMMIT ST",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601204362",
            "telephone_number": "847-750-6392",
            "fax_number": "847-628-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELGIN PEDIATRIC THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-03",
        "last_updated": "2012-01-03",
        "status": "A",
        "authorized_official_last_name": "SHEADE",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-612-0530",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Elgin Pain & Headache Center, Inc.
• Elgin Pain & Headache Center, S.C.
• Elgin Pharmacy Inc
• Elgin Physical Health Center
• Elgin Physical Medicine SC
• Elgin Skilled Nursing Facility LLC (Avantara of Elgin)
• Elgin Surgicare LLC

• Pediatric Occupational Therapist in Elgin, IL
• Providers in Elgin, IL by specialty
• Pediatric Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; 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.