Organization Active NPI

Geriatric Therapy Specialist, Inc

  • Point of Service
  • Oak Park, IL
National Provider Identifier
1740625425
Registry record updated May 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
149.013000 Issued in IL
Legal business name
GERIATRIC THERAPY SPECIALIST, INC
Practice address
133 N Humphrey Ave
Oak Park, IL 60302-2513
Phone
(774) 960-7919
NPI assigned
May 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2013

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

Authorized official

Name
Allyson Blasius, LCSW
Title
LCSW
Phone
(773) 960-7919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 149.013000 IL Primary

Addresses

Primary practice location

133 N Humphrey Ave
Oak Park, IL 60302-2513

Mailing address

133 N Humphrey Ave
Oak Park, IL 60302-2513

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1367884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367884800000",
    "number": "1740625425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 N HUMPHREY AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 N HUMPHREY AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022513",
            "telephone_number": "774-960-7919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIATRIC THERAPY SPECIALIST, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-07",
        "last_updated": "2013-05-07",
        "status": "A",
        "authorized_official_last_name": "BLASIUS",
        "authorized_official_first_name": "ALLYSON",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "773-960-7919",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "IL",
            "license": "149.013000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.