Timber Ridge Pediatric Therapy, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

TIMBER RIDGE PEDIATRIC THERAPY, LLC

Practice address

8707 Skokie Blvd
Suite 402
Skokie, IL 60077

Phone

(847) 877-5210

Fax

(847) 510-0430

NPI assigned

Feb 14, 2008

Last updated

Jan 25, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Laura A Goltz, OTR/LNPI 1346320199

Title

President

Phone

(847) 804-0040

Specialties & licenses 3

Addresses

Tax ID family

Timber Ridge Pediatric Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Timber Ridge Pediatric Therapy, LLC

  • Occupational Therapist
  • Skokie, IL
  • NPI 1841848751
  NPD tax ID

Locations

Practitioners 4

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.

• Laura A Goltz, OTR/L

  • Pediatric Occupational Therapist
  • Skokie, IL
  • NPI 1346320199
  NPD Authorized official
• Nicole Marie Ortega, MOT, OTR/L

  • Occupational Therapist
  • Skokie, IL
  • NPI 1922656206
  NPD
• Miriam Lisa Katzman

  • Occupational Therapist
  • Skokie, IL
  • NPI 1154525079
  NPD (past)
• Candace Swanson

  • Occupational Therapist
  • Skokie, IL
  • NPI 1033741723
  NPD (past)

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1760650501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3716 DAVIS ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761745",
            "telephone_number": "847-982-5822",
            "fax_number": "847-982-5823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8707 SKOKIE BLVD",
            "address_2": "SUITE 402",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "60077",
            "telephone_number": "847-877-5210",
            "fax_number": "847-510-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMBER RIDGE PEDIATRIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "GOLTZ",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-804-0040",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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": []
}

• Cori Christina Thompson
• Luke Noel Thompson, PHD
• Melissa Lee Thompson, M.S., CCC-SLP/L
• Thrive-Mha, LLC
• Donna Nicdao Tia
• Timber Ridge Pediatric Therapy, LLC
• Tlchealthcare,LTD
• Jonathan Tlusty, M.A.
• Tara E Tobin, APN-CNP
• Kristina Ivanova Todorova-Koteva, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.