Other Side of the Rainbow

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

OTHER SIDE OF THE RAINBOW

Practice address

22006 Jordan LN
Richton Park, IL 60471-1268

Phone

(708) 612-2881

NPI assigned

Mar 9, 2015

Organization subpart

No

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

Authorized official

Name

Frederica Johnson

Title

President

Phone

(708) 612-2881

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425859200000",
    "number": "1497148803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22006 JORDAN LN",
            "city": "RICHTON PARK",
            "state": "IL",
            "postal_code": "604711268",
            "telephone_number": "708-612-2881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22006 JORDAN LN",
            "city": "RICHTON PARK",
            "state": "IL",
            "postal_code": "604711268",
            "telephone_number": "708-612-2881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTHER SIDE OF THE RAINBOW",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-09",
        "last_updated": "2015-03-09",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "FREDERICA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-612-2881"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Francine M Pearce, M.D.

• Pediatric Occupational Therapist in Richton Park, IL
• Providers in Richton Park, IL by specialty
• Pediatric Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.