NPIMap

Organization Active NPI

Kidnectivity,LLC

  • Pediatric Physical Therapist
  • Northbrook, IL
National Provider Identifier
1437602976
Registry record updated Aug 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
070006291 Issued in IL
Legal business name
KIDNECTIVITY,LLC
Practice address
600 Waukegan Rd Ste 132
Northbrook, IL 60062-1249
Phone
(847) 784-8733
NPI assigned
Aug 2, 2016
Last updated
Aug 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2016

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

Authorized official

Name
Jenifer Bates
Title
Business Director
Phone
(847) 748-8733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 070006291 IL Primary

Addresses

Primary practice location

600 Waukegan Rd Ste 132
Northbrook, IL 60062-1249

Mailing address

310 N Deere Park Dr W
Highland Park, IL 60035-5374
Phone (847) 748-8733

National Provider Directory

National Provider Directory
Tax ID family
Kidnectivity2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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": "1470096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470096000000",
    "number": "1437602976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 N DEERE PARK DR W",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600355374",
            "telephone_number": "847-748-8733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 WAUKEGAN RD STE 132",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621249",
            "telephone_number": "847-784-8733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNECTIVITY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-02",
        "last_updated": "2016-08-02",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "JENIFER",
        "authorized_official_title_or_position": "BUSINESS DIRECTOR",
        "authorized_official_telephone_number": "847-748-8733"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "IL",
            "license": "070006291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.