Connelly Thompson

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146014139 Issued in IL

Practice address

2630 W Bradley PL Ste a
Chicago, IL 60618-4704

Phone

(312) 724-2933

NPI assigned

Aug 22, 2022

Last updated

Aug 22, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: connelly@clubhousetherapy.com

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1619695921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1188 BETSY ROSS PL",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604902101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 W BRADLEY PL STE A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606184704",
            "telephone_number": "312-724-2933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "CONNELLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146014139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Connelly@clubhousetherapy.com",
            "affiliation": "Y",
            "affiliationName": "Therapeutic Strategies, Inc",
            "address_1": "2901 Finley Rd",
            "address_2": "Suite 102",
            "city": "Downers Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605151041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Chase Thompson
• Chelsea Thompson
• Chelsea Marie Thompson, MD
• Christopher Keith Thompson, PT, DPT
• Colton Dean Thompson, MD
• Courtney Thompson, LSW
• Dana Mara Thompson, M.D.
• Danielle Thompson, MD
• David Javier Thompson
• Dorcas Thompson

• Speech-Language Pathologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.