Go Kid Go Therapy Services, LLC

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

070012467 Issued in IL

Legal business name

GO KID GO THERAPY SERVICES, LLC

Practice address

131 Flinn Street
Suite a
Batavia, IL 60510

Phone

(630) 425-3134

NPI assigned

Oct 4, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa Josupait, P.T.

Title

President

Phone

(630) 240-2962

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477440000000",
    "number": "1720537657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 RALPH JUDD CT",
            "city": "SUGAR GROVE",
            "state": "IL",
            "postal_code": "605544010",
            "telephone_number": "630-240-2962",
            "fax_number": "630-405-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 FLINN STREET",
            "address_2": "SUITE A",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "60510",
            "telephone_number": "630-425-3134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GO KID GO THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-04",
        "last_updated": "2016-10-26",
        "status": "A",
        "authorized_official_last_name": "JOSUPAIT",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-240-2962",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "IL",
            "license": "070012467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Geraghty, PSY.D.
• Suzanne L Germain, SLP
• Danielle Gilson
• Jody Glass
• Monica Gloor, M.A., CCC-SLP
• Amy Goles, M.A., LCPC
• Matthew Goles, M.A., LCPC
• Ashley Ann Gonzalez, NP
• Brittany Gonzalez, MSN, APRN, FNP-C
• Good Energy Women'S Health, PLLC

• Pediatric Physical Therapist in Batavia, IL
• Providers in Batavia, IL by specialty
• Pediatric Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; 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.