NPIMap

Organization Active NPI

Sensationally Balanced, PLLC

  • Pediatric Occupational Therapist
  • La Grange Park, IL
National Provider Identifier
1427619816
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
SENSATIONALLY BALANCED, PLLC
Practice address
323 N Stone Ave
La Grange Park, IL 60526-1818
Phone
(773) 852-8720
Fax
(708) 482-7432
NPI assigned
Jun 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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

Authorized official

Name
Sarah Mycek, OTR/LNPI 1043315112
Title
Owner
Phone
(773) 852-8720

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XP0200X Primary

Addresses

Primary practice location

323 N Stone Ave
La Grange Park, IL 60526-1818

Mailing address

323 N Stone Ave
La Grange Park, IL 60526-1818
Phone (773) 852-8720

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sarah@sensationallybalanced.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561507200000",
    "number": "1427619816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 N STONE AVE",
            "city": "LA GRANGE PARK",
            "state": "IL",
            "postal_code": "605261818",
            "telephone_number": "773-852-8720",
            "fax_number": "708-482-7432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 N STONE AVE",
            "city": "LA GRANGE PARK",
            "state": "IL",
            "postal_code": "605261818",
            "telephone_number": "773-852-8720",
            "fax_number": "708-482-7432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENSATIONALLY BALANCED, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-26",
        "last_updated": "2019-06-26",
        "status": "A",
        "authorized_official_last_name": "MYCEK",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-852-8720",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sarah@sensationallybalanced.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "323 N Stone Ave",
            "city": "LA Grange Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605261818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in La Grange Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.