NPIMap

Organization Active NPI

Kids Can Pediatric Therapy Inc.

  • Occupational Therapist
  • Chicago, IL
National Provider Identifier
1477927275
Registry record updated Nov 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056007032 Issued in IL
Legal business name
KIDS CAN PEDIATRIC THERAPY INC.
Practice address
1530 S State St
Unit 525
Chicago, IL 60605-2964
Phone
(708) 250-1535
Fax
(312) 643-1316
NPI assigned
Nov 17, 2015
Last updated
Nov 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2015

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

Authorized official

Name
Miss Richelle Lynn Randazzo, OTD, OTR/LNPI 1700916103
Title
Occupational Therapist
Phone
(708) 250-1535

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 056007032 IL Primary

Addresses

Primary practice location

1530 S State St
Unit 525
Chicago, IL 60605-2964

Mailing address

1530 S State St
Unit 525
Chicago, IL 60605-2964
Phone (708) 250-1535

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": "1447718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447718400000",
    "number": "1477927275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 S STATE ST",
            "address_2": "UNIT 525",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052964",
            "telephone_number": "708-250-1535",
            "fax_number": "312-643-1316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 S STATE ST",
            "address_2": "UNIT 525",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052964",
            "telephone_number": "708-250-1535",
            "fax_number": "312-643-1316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS CAN PEDIATRIC THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-17",
        "last_updated": "2015-11-17",
        "status": "A",
        "authorized_official_last_name": "RANDAZZO",
        "authorized_official_first_name": "RICHELLE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "708-250-1535",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "OTD, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056007032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; 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.