NPIMap

Organization Active NPI

Life Skills Occupational Therapy LLC

  • Occupational Therapist
  • Naperville, IL
National Provider Identifier
1467901488
Registry record updated Oct 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056007182 Issued in IL
Legal business name
LIFE SKILLS OCCUPATIONAL THERAPY LLC
Practice address
919 Mortonsberry Dr
Naperville, IL 60540-0364
Phone
(331) 305-3332
Fax
(331) 215-4711
NPI assigned
Oct 3, 2016
Last updated
Oct 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2016

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

Authorized official

Name
Kristen Lauria Nelson, O.T.NPI 1013118249
Title
Owner and Sole Member
Phone
(331) 305-3332

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
Occupational Therapist 225X00000X 056007182 IL Primary

Addresses

Primary practice location

919 Mortonsberry Dr
Naperville, IL 60540-0364

Mailing address

919 Mortonsberry Dr
Naperville, IL 60540-0364
Phone (331) 305-3332

National Provider Directory

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": "1475452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475452800000",
    "number": "1467901488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 MORTONSBERRY DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605400364",
            "telephone_number": "331-305-3332",
            "fax_number": "331-215-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 MORTONSBERRY DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605400364",
            "telephone_number": "331-305-3332",
            "fax_number": "331-215-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SKILLS OCCUPATIONAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-03",
        "last_updated": "2016-10-03",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "LAURIA",
        "authorized_official_title_or_position": "OWNER AND SOLE MEMBER",
        "authorized_official_telephone_number": "331-305-3332",
        "authorized_official_credential": "O.T."
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056007182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.