Kids Beyond Goals LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

KIDS BEYOND GOALS LLC

Practice address

1679 Campton Dr
Bourbonnais, IL 60914-5088

Phone

(815) 295-3577

NPI assigned

Sep 8, 2026

Last updated

Sep 8, 2026By 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

Michelle Pruneda, MOT, OTR/LNPI 1073070827

Title

Occupational Therapist

Phone

(815) 295-3577

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Michelle R Pruneda, MOT, OTR/L

  • Occupational Therapist
  • Crete, IL
  • NPI 1073070827
  Authorized official Same address or phone

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

{
    "created_epoch": "1788825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788825600000",
    "number": "1770493454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1679 CAMPTON DR",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609145088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1679 CAMPTON DR",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609145088",
            "telephone_number": "815-295-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS BEYOND GOALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-08",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A",
        "authorized_official_last_name": "PRUNEDA",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "815-295-3577",
        "authorized_official_credential": "MOT, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Joanne Kemnetz, MOT,OTRL
• Alicia Nicole Kendra, MSN, APRN, FNP-BC
• Peter Angelo Keorpes, PA-C
• Key Internal Medicine, S.C.
• Khan Counseling (Beth Shelton Khan LCSW)
• You S Kim, MD
• Kinetic O & P, LTD
• Kathleen Kleinert, RD, LDN
• Chad Koch, ATC
• Koehler Sports & Spinal Rehab LTD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; 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.