NPIMap

Organization Active NPI

Langston Pediatric Therapy, LLC

  • Pediatric Occupational Therapist
  • Yorkville, IL
National Provider Identifier
1427364033
Registry record updated Oct 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
LANGSTON PEDIATRIC THERAPY, LLC
Practice address
10 Saravanos Dr.
Yorkville, IL 60560-9197
Phone
(630) 553-8444
Fax
(630) 553-3542
NPI assigned
Aug 20, 2010
Last updated
Oct 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2016

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

Authorized official

Name
Mrs. Laura Michelle Langston, MOT, OTR/LNPI 1144368259
Title
Coordinator of Therapy Services
Phone
(630) 553-8444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251P0200X
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

10 Saravanos Dr.
Yorkville, IL 60560-9197

Mailing address

10 Saravanos Dr
Yorkville, IL 60560-9197
Phone (630) 553-8444

National Provider Directory

National Provider Directory

Locations

724 E Veterans Pkwy
Yorkville, IL 60560

724 E Veterans Pkwy
Ste B
Yorkville, IL 60560
Phone (630) 553-8444

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1282262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475798400000",
    "number": "1427364033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SARAVANOS DR",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605609197",
            "telephone_number": "630-553-8444",
            "fax_number": "630-553-3542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SARAVANOS DR.",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605609197",
            "telephone_number": "630-553-8444",
            "fax_number": "630-553-3542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANGSTON PEDIATRIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-20",
        "last_updated": "2016-10-07",
        "status": "A",
        "authorized_official_last_name": "LANGSTON",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "COORDINATOR OF THERAPY SERVICES",
        "authorized_official_telephone_number": "630-553-8444",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MOT, OTR/L"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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": []
}

Other providers in Yorkville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; 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.