Organization Active NPI

Marbles Matter Therapy Group, PLLC

  • Occupational Therapist
  • Oak Forest, IL
National Provider Identifier
1437807948
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
MARBLES MATTER THERAPY GROUP, PLLC
Practice address
14501 Central CT Apt G4
Oak Forest, IL 60452-1033
Phone
(773) 633-6211
NPI assigned
Mar 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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

Authorized official

Name
Michele Ryndak, OTR/L
Title
Owner
Phone
(773) 633-6211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

14501 Central CT Apt G4
Oak Forest, IL 60452-1033

Mailing address

14501 Central CT Apt G4
Oak Forest, IL 60452-1033
Phone (773) 633-6211

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647216000000",
    "number": "1437807948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14501 CENTRAL CT APT G4",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604521033",
            "telephone_number": "773-633-6211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14501 CENTRAL CT APT G4",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604521033",
            "telephone_number": "773-633-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARBLES MATTER THERAPY GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A",
        "authorized_official_last_name": "RYNDAK",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-633-6211",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Forest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; 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.