Organization Active NPI

Kae Therapy

  • Early Intervention Provider Agency
  • Oak Lawn, IL
National Provider Identifier
1679831523
Registry record updated Apr 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
KAE THERAPY
Practice address
5257 W 90TH St
Oak Lawn, IL 60453-1311
Phone
(708) 257-4696
NPI assigned
Apr 29, 2012
Last updated
Apr 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2012

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

Authorized official

Name
Ms. Katherine Bertucci, M.S., OTR/LNPI 1710270020
Title
Occupational Therapist/ Owner
Phone
(708) 257-4696

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

5257 W 90TH St
Oak Lawn, IL 60453-1311

Mailing address

5257 W 90TH St
Oak Lawn, IL 60453-1311

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1335657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335657600000",
    "number": "1679831523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5257 W 90TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604531311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5257 W 90TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604531311",
            "telephone_number": "708-257-4696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-29",
        "last_updated": "2012-04-29",
        "status": "A",
        "authorized_official_last_name": "BERTUCCI",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST/ OWNER",
        "authorized_official_telephone_number": "708-257-4696",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S., OTR/L"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2012; 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.