NPIMap

Organization Active NPI

Katiebug Therapy, LTD.

  • Speech-Language Pathologist
  • Naperville, IL
National Provider Identifier
1487834461
Registry record updated Mar 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146003441 Issued in IL
Legal business name
KATIEBUG THERAPY, LTD.
Practice address
2156 Deep Water LN
Unit 110
Naperville, IL 60564-8504
Phone
(630) 904-0700
Fax
(630) 904-0705
NPI assigned
Nov 7, 2007
Last updated
Mar 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2016

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

Authorized official

Name
Mrs. Marie Ruzicka, MA CCC/SLPNPI 1588677579
Title
Owner/Clinic Director
Phone
(630) 904-0700

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Pediatric Occupational Therapist 225XP0200X NU
Speech-Language Pathologist 235Z00000X 146003441 IL Primary

Addresses

Primary practice location

2156 Deep Water LN
Unit 110
Naperville, IL 60564-8504

Mailing address

2156 Deep Water LN
Unit 110
Naperville, IL 60564-8504
Phone (630) 904-0700

National Provider Directory

National Provider Directory

Locations

2156 Deep Water Ln
Ste 110
Naperville, IL 60564
Phone (630) 904-0700

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458259200000",
    "number": "1487834461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2156 DEEP WATER LN",
            "address_2": "UNIT 110",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648504",
            "telephone_number": "630-904-0700",
            "fax_number": "630-904-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2156 DEEP WATER LN",
            "address_2": "UNIT 110",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648504",
            "telephone_number": "630-904-0700",
            "fax_number": "630-904-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATIEBUG THERAPY, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2016-03-18",
        "status": "A",
        "authorized_official_last_name": "RUZICKA",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/CLINIC DIRECTOR",
        "authorized_official_telephone_number": "630-904-0700",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146003441",
            "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 Mar 18, 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.