Organization Active NPI

Pediatric Therapy Home Care,LTD

  • Early Intervention Provider Agency
  • Addison, IL
National Provider Identifier
1639350192
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
PEDIATRIC THERAPY HOME CARE,LTD
Practice address
933 W Stonehedge Dr
Addison, IL 60101-3172
Phone
(773) 814-2670
NPI assigned
Nov 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

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

Authorized official

Name
Miss Agata Ragan
Title
Office Manager
Phone
(773) 814-2670

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X IL Primary

Addresses

Primary practice location

933 W Stonehedge Dr
Addison, IL 60101-3172

Mailing address

933 W Stonehedge Dr
Addison, IL 60101-3172

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196035200000",
    "number": "1639350192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 W STONEHEDGE DR",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601013172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 W STONEHEDGE DR",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601013172",
            "telephone_number": "773-814-2670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC THERAPY HOME CARE,LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2007-11-26",
        "status": "A",
        "authorized_official_last_name": "RAGAN",
        "authorized_official_first_name": "AGATA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "773-814-2670",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; 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.