NPIMap

Organization Active NPI

Kids Unlimited Therapy Services, LLC

  • Occupational Therapist
  • Oak Park, IL
National Provider Identifier
1396118329
Registry record updated Nov 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056001950 Issued in IL
Legal business name
KIDS UNLIMITED THERAPY SERVICES, LLC
Practice address
820 North Blvd
Oak Park, IL 60301-1351
Phone
(708) 524-2445
Fax
(708) 524-2443
NPI assigned
Nov 13, 2015
Last updated
Nov 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2015

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

Authorized official

Name
Mary T Kreis, OTR/LNPI 1265515258
Title
Member
Phone
(708) 557-2383

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070004337 IL
Occupational Therapist 225X00000X 056001950 IL Primary
Speech-Language Pathologist 235Z00000X 146009759 IL

Addresses

Primary practice location

820 North Blvd
Oak Park, IL 60301-1351

Mailing address

820 North Blvd
Oak Park, IL 60301-1351
Phone (708) 524-2445

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1447372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447372800000",
    "number": "1396118329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 NORTH BLVD",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011351",
            "telephone_number": "708-524-2445",
            "fax_number": "708-524-2443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 NORTH BLVD",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011351",
            "telephone_number": "708-524-2445",
            "fax_number": "708-524-2443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS UNLIMITED THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-13",
        "last_updated": "2015-11-13",
        "status": "A",
        "authorized_official_last_name": "KREIS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "708-557-2383",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070004337",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056001950",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146009759",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2015; 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.