Active NPI
Kae Therapy
- Early Intervention Provider Agency
- Oak Lawn, IL
National Provider Identifier
1679831523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- 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, 2012
- Organization subpart
- No
NPPES NPI Registry
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/L
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Pediatric Occupational Therapist
- Bridgeview, IL
- NPI 1710270020
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.