Active NPI
Lora Prochaska, DEVELOPMENTAL THERAP
- Developmental Therapist
- Rockford, IL
National Provider Identifier
1396962817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- License
- LP40840993P
- Practice address
- 6461 Muirfield LN
Rockford, IL 61114-7837 - Phone
- (815) 262-6231
- NPI assigned
- Apr 18, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | LP40840993P | IL | Primary |
Addresses
Primary practice location
6461 Muirfield LN
Rockford, IL 61114-7837
Mailing address
6461 Muirfield LN
Rockford, IL 61114-7837
Phone (815) 262-6231
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP40840993P | IL | MD | Developmental Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396962817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6461 MUIRFIELD LN",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611147837",
"telephone_number": "815-262-6231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6461 MUIRFIELD LN",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611147837",
"telephone_number": "815-262-6231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROCHASKA",
"first_name": "LORA",
"credential": "DEVELOPMENTAL THERAP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "IL",
"license": "LP40840993P",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockford, IL
- Pro Ear Inc. (Miracle-Ear)
- Anthony Pro
- Chris Pro, B.C., NBC-HIS, A.C.A
- Procare Dental Group, P.C. (RockCreek Dentistry)
- Process Not Perfection LLC
- Professional Hearing Centers, Inc (Professional Hearing Health Centers)
- Progress Mental Health LLC
- Prohealth Pharmacy LLC
- Hunter Joseph Promer, DO
- Promotion Service LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.