Marengo Occupational Therapy Services, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MARENGO OCCUPATIONAL THERAPY SERVICES, INC

Practice address

212 Lindow LN
Suite M
Marengo, IL 60152-9480

Phone

(815) 568-8878

Fax

(815) 568-9977

NPI assigned

Feb 22, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Jonathan S Link, MPT

Title

President / Physical Therapist

Phone

(815) 568-8878

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1361491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361491200000",
    "number": "1720328008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 683",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "610080683",
            "telephone_number": "815-568-8878",
            "fax_number": "815-568-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 LINDOW LN",
            "address_2": "SUITE M",
            "city": "MARENGO",
            "state": "IL",
            "postal_code": "601529480",
            "telephone_number": "815-568-8878",
            "fax_number": "815-568-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARENGO OCCUPATIONAL THERAPY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-22",
        "last_updated": "2013-02-22",
        "status": "A",
        "authorized_official_last_name": "LINK",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT / PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "815-568-8878",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Alan Leiseberg, MS, PT
• Katherine Lemke, SLP
• Liliana Paz DDS PLLC
• Marengo Community Pharmacy Inc
• Marengo Dental
• Marengo Physical Therapy, Inc.
• Marengo Rescue Squad District
• Marengo School District 154
• Marengo Vision Center, P.C.
• Marengo-Union Elementary Consolidated School District 165

• All providers in Marengo, IL
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; 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.