Organization Active NPI

Cadence Shaw Industries

  • Pediatric Occupational Therapist
  • Tinley Park, IL
National Provider Identifier
1639491764
Registry record updated Feb 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
056006309 Issued in IL
Legal business name
CADENCE SHAW INDUSTRIES
Doing business as
Reach for the Stars Pediatric Therapy
Practice address
6501 Pine Point Dr
Tinley Park, IL 60477-2803
Phone
(708) 927-9800
Fax
(708) 231-0148
NPI assigned
Feb 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2010

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

Authorized official

Name
Mrs. Roslyn Shaw, OTNPI 1225168347
Title
Owner
Phone
(708) 927-9800

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
Pediatric Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XP0200X 056006309 IL Primary

Addresses

Primary practice location

6501 Pine Point Dr
Tinley Park, IL 60477-2803

Mailing address

6501 Pine Point Dr
Tinley Park, IL 60477-2803
Phone (708) 927-9800

Other names 1

  • Reach for the Stars Pediatric Therapy Doing business as

National Provider Directory

National Provider Directory

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": "1266278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266278400000",
    "number": "1639491764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 PINE POINT DR",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604772803",
            "telephone_number": "708-927-9800",
            "fax_number": "708-231-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 PINE POINT DR",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604772803",
            "telephone_number": "708-927-9800",
            "fax_number": "708-231-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CADENCE SHAW INDUSTRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-16",
        "last_updated": "2010-02-16",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "ROSLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-927-9800",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IL",
            "license": "056006309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reach for the Stars Pediatric Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tinley Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; 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.