NPIMap

Organization Active NPI

OT Magic Inc.

  • Early Intervention Provider Agency
  • Chicago, IL
National Provider Identifier
1669790549
Registry record updated May 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
VM736105001 Issued in IL
Legal business name
OT MAGIC INC.
Practice address
1666 W 103Rd St
Chicago, IL 60643-2819
Phone
(773) 510-7431
Fax
(773) 233-0756
NPI assigned
May 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2010

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

Authorized official

Name
Mrs. Valerie Maxwell-Sofiyea, O.T.R.NPI 1215154828
Title
President
Phone
(773) 510-7431

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
Early Intervention Provider Agency 252Y00000X VM736105001 IL Primary

Addresses

Primary practice location

1666 W 103Rd St
Chicago, IL 60643-2819

Mailing address

1666 W 103Rd St
Chicago, IL 60643-2819
Phone (773) 510-7431

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": "1274054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274054400000",
    "number": "1669790549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1666 W 103RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606432819",
            "telephone_number": "773-510-7431",
            "fax_number": "773-233-0756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1666 W 103RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606432819",
            "telephone_number": "773-510-7431",
            "fax_number": "773-233-0756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OT MAGIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-17",
        "last_updated": "2010-05-17",
        "status": "A",
        "authorized_official_last_name": "MAXWELL-SOFIYEA",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-510-7431",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "O.T.R."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "IL",
            "license": "VM736105001",
            "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 May 17, 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.