Connected Kids Pediatric Therapy, PC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

CONNECTED KIDS PEDIATRIC THERAPY, PC

Practice address

15 Commerce Dr
Suite 111
Grayslake, IL 60030-7807

Phone

(847) 502-8348

NPI assigned

Jun 27, 2011

Organization subpart

No

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

Authorized official

Name

Sharon Silverberg, OTR/L

Title

Owner

Phone

(847) 502-8348

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355875200000",
    "number": "1396031498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 COMMERCE DR",
            "address_2": "SUITE 111",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600307807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 COMMERCE DR",
            "address_2": "SUITE 111",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600307807",
            "telephone_number": "847-502-8348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTED KIDS PEDIATRIC THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-27",
        "last_updated": "2012-12-19",
        "status": "A",
        "authorized_official_last_name": "SILVERBERG",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-502-8348",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Collett, LCSW
• Jeriann Collymore, MD, MPH
• Community Youth Network, Inc
• Condell Medical Center (Condell Med Ctr Grays Lake)
• Merdith Ann Conn
• Anabella Cook
• Kyle R Cook, LSW, MSW
• Jessica Aubyn Cooksey, MD
• Andreea Maria Costea, M.D.
• Counseling Center of Grayslake

• Occupational Therapist in Grayslake, IL
• Providers in Grayslake, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.