Chicago Kids Therapy Inc

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

CHICAGO KIDS THERAPY INC

Practice address

1765 N Elston Ave Ste 206
Chicago, IL 60642-1501

Phone

(773) 998-8400

NPI assigned

Mar 10, 2019

Organization subpart

No

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

Authorized official

Name

Quinn Niego

Title

Owner

Phone

(773) 998-8400

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sarah Mroz, PT, DPT

  • Pediatric Physical Therapist
  • Chicago, IL
  • NPI 1629701933
  NPD (past)
• Consuelo Pacheco Villablanca, PT

  • Physical Therapist
  • Chicago, IL
  • NPI 1477219889
  NPD (past)

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

{
    "created_epoch": "1552176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552176000000",
    "number": "1720546633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1765 N ELSTON AVE STE 206",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606421501",
            "telephone_number": "773-998-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1765 N ELSTON AVE STE 206",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606421501",
            "telephone_number": "773-998-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO KIDS THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-10",
        "last_updated": "2019-03-10",
        "status": "A",
        "authorized_official_last_name": "NIEGO",
        "authorized_official_first_name": "QUINN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-998-8400"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2019; 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.