NPIMap

Organization Active NPI

Kids Place Therapy Services

  • Pediatric Occupational Therapist
  • Schaumburg, IL
National Provider Identifier
1508134024
Registry record updated Dec 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
056007476 Issued in IL
Legal business name
KIDS PLACE THERAPY SERVICES
Practice address
324 N Walnut LN
Schaumburg, IL 60194-3838
Phone
(630) 347-1702
Fax
(847) 220-9295
NPI assigned
Dec 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2011

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

Authorized official

Name
Kam Wyruchowski
Title
Occupational Therapist
Phone
(630) 347-1702

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X 056007476 IL Primary

Addresses

Primary practice location

324 N Walnut LN
Schaumburg, IL 60194-3838

Mailing address

324 N Walnut LN
Schaumburg, IL 60194-3838
Phone (630) 347-1702

National Provider Directory

National Provider Directory

Locations

2500 W Higgins Rd
Ste 555
Hoffman Estates, IL 60169
Phone (630) 347-1702

Practitioners & affiliated clinicians

Practitioners 5

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": "1323648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323648000000",
    "number": "1508134024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 N WALNUT LN",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601943838",
            "telephone_number": "630-347-1702",
            "fax_number": "847-220-9295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 N WALNUT LN",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601943838",
            "telephone_number": "630-347-1702",
            "fax_number": "847-220-9295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS PLACE THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-12",
        "last_updated": "2011-12-12",
        "status": "A",
        "authorized_official_last_name": "WYRUCHOWSKI",
        "authorized_official_first_name": "KAM",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "630-347-1702"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IL",
            "license": "056007476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; 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.