Individual provider Active NPI

Mary Kathleen Kuchta, MS, OTR/L

  • Occupational Therapist
  • Palos Heights, IL
National Provider Identifier
1548696362
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056010311 Issued in IL
Practice address
13049 S 71St Ave
Palos Heights, IL 60463-2117
Phone
(708) 805-0173
NPI assigned
Sep 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 056010311 IL Primary

Addresses

Primary practice location

13049 S 71St Ave
Palos Heights, IL 60463-2117

Mailing address

13049 S 71St Ave
Palos Heights, IL 60463-2117
Phone (708) 805-0173

Other names 1

  • Mary Kathleen Maloney Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
056010311ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Playful Pediatrics LLC CurrentSince Oct 17, 2021 Accepting new patients

Locations

21201 S Elsner Rd
Unit 3
Frankfort, IL 60423
Phone (708) 805-0173

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1548696362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13049 S 71ST AVE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604632117",
            "telephone_number": "708-805-0173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13049 S 71ST AVE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604632117",
            "telephone_number": "708-805-0173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCHTA",
        "first_name": "MARY KATHLEEN",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-25",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056010311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY KATHLEEN",
            "last_name": "MALONEY",
            "credential": "MS, OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Palos Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; 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.