Level Up Pediatric Speech Therapy, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.011212 Issued in IL

Legal business name

LEVEL UP PEDIATRIC SPEECH THERAPY, LLC

Practice address

289 Wagner Rd
Northfield, IL 60093-3248

Phone

(773) 350-9229

Fax

(773) 595-4608

NPI assigned

Aug 20, 2014

Last updated

Mar 22, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Katherine T Divalerio, M.A.,CCC-SLPNPI 1144514613

Title

Speech Language Pathologist/Owner

Phone

(773) 350-9229

Specialties & licenses 2

Addresses

Practitioners 3

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.

• Katherine T Divalerio, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Northfield, IL
  • NPI 1144514613
  NPD (past) Authorized official
• Megan Sue Kaddatz

  • Speech-Language Pathologist
  • Cottage Grove, WI
  • NPI 1497254957
  NPD (past)
• Chelsey Ruth Peterson

  • Speech-Language Pathologist
  • Kenosha, WI
  • NPI 1467959171
  NPD (past)

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

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521676800000",
    "number": "1437558954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 WAGNER RD",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933248",
            "telephone_number": "773-350-9229",
            "fax_number": "773-595-4608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 WAGNER RD",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933248",
            "telephone_number": "773-350-9229",
            "fax_number": "773-595-4608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEVEL UP PEDIATRIC SPEECH THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-20",
        "last_updated": "2018-03-22",
        "status": "A",
        "authorized_official_last_name": "DIVALERIO",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST/OWNER",
        "authorized_official_telephone_number": "773-350-9229",
        "authorized_official_credential": "M.A.,CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.011212",
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "IL",
            "license": "146.011212",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeline Lee
• Michelle Ronda Lee
• Karissa Lehman, L.AC.
• Ashley Leja Lesslie, PH.D.
• Mark Levee, D.C.
• Alan J. Levy, L.C.S.W.
• Julie A. Levy, M.S.W., L.C.S.W.
• Brandi J Lewis, PTA
• Life in Harmony Counseling PLLC
• Jamie K Lilie, PHD

• Speech-Language Pathologist in Northfield, IL
• Providers in Northfield, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; 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.