Organization Active NPI

Optimum Children'S Therapy LLC

  • Behavior Analyst
  • Oak Lawn, IL
National Provider Identifier
1497440986
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
OPTIMUM CHILDREN'S THERAPY LLC
Practice address
9333 S Harlem Ave Apt 4B
Oak Lawn, IL 60453-2089
Phone
(319) 325-0843
NPI assigned
Apr 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Authorized official

Name
Joshua Hollie, BCBANPI 1881253490
Title
Ceo, Bcba
Phone
(319) 325-0843

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

9333 S Harlem Ave Apt 4B
Oak Lawn, IL 60453-2089

Mailing address

9333 S Harlem Ave Apt 4B
Oak Lawn, IL 60453-2089
Phone (319) 325-0843

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.

NPI Registry JSON

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681084800000",
    "number": "1497440986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9333 S HARLEM AVE APT 4B",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532089",
            "telephone_number": "319-325-0843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9333 S HARLEM AVE APT 4B",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532089",
            "telephone_number": "319-325-0843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM CHILDREN'S THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A",
        "authorized_official_last_name": "HOLLIE",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "CEO, BCBA",
        "authorized_official_telephone_number": "319-325-0843",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; 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.