Organization Active NPI

Pretty Rad Therapy LLC

  • Rehabilitation Practitioner
  • Chicago, IL
National Provider Identifier
1548046626
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Legal business name
PRETTY RAD THERAPY LLC
Practice address
1130 S Canal St # 1086
Chicago, IL 60607-4907
Phone
(312) 566-7264
NPI assigned
Sep 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Joanne GutierrezNPI 1366084667
Title
Occupational Therapist
Phone
(312) 566-7264

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 225400000X Primary

Addresses

Primary practice location

1130 S Canal St # 1086
Chicago, IL 60607-4907

Mailing address

1130 S Canal St # 1086
Chicago, IL 60607-4907
Phone (312) 566-7264

National Provider Directory

National Provider Directory

Locations

1130 S Canal St
#1086
Chicago, IL 60607
Phone (312) 566-7264

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": "1693872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1548046626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 S CANAL ST # 1086",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606074907",
            "telephone_number": "312-566-7264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 S CANAL ST # 1086",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606074907",
            "telephone_number": "312-566-7264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRETTY RAD THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-05",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "312-566-7264"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.