Active NPI
Mis Manitas Therapeutics Inc
- Occupational Therapist
- Chicago, IL
National Provider Identifier
1770617482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Legal business name
- MIS MANITAS THERAPEUTICS INC
- Practice address
- 1751 W 38TH St
Apt. 2
Chicago, IL 60609-2025 - Phone
- (773) 847-6006
- Fax
- (773) 847-6006
- NPI assigned
- Mar 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Alicia Padilla, OTR
- Title
- Occupational Therapist
- Phone
- (773) 847-6006
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | IL | Primary |
Addresses
Primary practice location
1751 W 38TH St
Apt. 2
Chicago, IL 60609-2025
Mailing address
1751 W 38TH St
Apt. 2
Chicago, IL 60609-2025
Phone (773) 847-6006
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1770617482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1751 W 38TH ST",
"address_2": "APT. 2",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606092025",
"telephone_number": "773-847-6006",
"fax_number": "773-847-6006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1751 W 38TH ST",
"address_2": "APT. 2",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606092025",
"telephone_number": "773-847-6006",
"fax_number": "773-847-6006"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIS MANITAS THERAPEUTICS INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-15",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PADILLA",
"authorized_official_first_name": "ALICIA",
"authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
"authorized_official_telephone_number": "773-847-6006",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "OTR"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.