NPIMap

Organization Active NPI

Kick Start

  • Occupational Therapist
  • Northfield, IL
National Provider Identifier
1508154212
Registry record updated Jun 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056007907 Issued in IL
Legal business name
KICK START
Practice address
1845 Oak St
Suite 15
Northfield, IL 60093-3022
Phone
(847) 386-6560
Fax
(847) 423-6701
NPI assigned
Jul 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2012

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

Authorized official

Name
Esther Weisz, M.S., OTR/L
Title
Occupational Therapist
Phone
(847) 386-6560

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 056007907 IL Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 056002913 IL
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

1845 Oak St
Suite 15
Northfield, IL 60093-3022

Mailing address

1845 Oak St
Suite 15
Northfield, IL 60093-3022
Phone (847) 386-6560

National Provider Directory

National Provider Directory

Locations

1845 Oak St
Ste 15
Northfield, IL 60093
Phone (847) 386-6560

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339718400000",
    "number": "1508154212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 OAK ST",
            "address_2": "SUITE 15",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933022",
            "telephone_number": "847-386-6560",
            "fax_number": "847-423-6701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 OAK ST",
            "address_2": "SUITE 15",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933022",
            "telephone_number": "847-386-6560",
            "fax_number": "847-423-6701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KICK START",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-14",
        "last_updated": "2012-06-15",
        "status": "A",
        "authorized_official_last_name": "WEISZ",
        "authorized_official_first_name": "ESTHER",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "847-386-6560",
        "authorized_official_credential": "M.S., OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056007907",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056002913",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; 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.