Organization Active NPI

Pediatric Wellness

  • Occupational Therapy Assistant
  • Naperville, IL
National Provider Identifier
1477602373
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
Legal business name
PEDIATRIC WELLNESS
Practice address
236 Westbrook Cir
Naperville, IL 60565-3269
Phone
(630) 548-2520
Fax
(630) 548-2512
NPI assigned
Jan 9, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Ms. Terry Roat, OTR
Title
Owner
Phone
(630) 548-2520

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X IL Primary
Physical Therapist 225100000X IL
Occupational Therapist 225X00000X IL

Addresses

Primary practice location

236 Westbrook Cir
Naperville, IL 60565-3269

Mailing address

236 Westbrook Cir
Naperville, IL 60565-3269
Phone (630) 548-2520

Other identifiers 2

IdentifierTypeStateIssuer
19OtherILPHYSICAL THERAPY
19OtherILOCCUPATIONAL THERAPY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1477602373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 WESTBROOK CIR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605653269",
            "telephone_number": "630-548-2520",
            "fax_number": "630-548-2512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 WESTBROOK CIR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605653269",
            "telephone_number": "630-548-2520",
            "fax_number": "630-548-2512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "ROAT",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-548-2520",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY",
            "identifier": "19",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPY",
            "identifier": "19",
            "state": "IL"
        }
    ],
    "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 Sep 11, 2025; 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.