Little Tikes Therapy, Inc

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

LITTLE TIKES THERAPY, INC

Practice address

621 High Ridge Rd
Roselle, IL 60172-1407

Phone

(708) 334-1095

Fax

(866) 834-3810

NPI assigned

May 23, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Julia Marie Clark, OTR/LNPI 1134288400

Title

President

Phone

(708) 334-1095

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.

• Julia Marie Clark, OTR

  • Occupational Therapist
  • Roselle, IL
  • NPI 1134288400
  NPD (past) Authorized official

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369267200000",
    "number": "1790122240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 HIGH RIDGE RD",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601721407",
            "telephone_number": "708-334-1095",
            "fax_number": "866-834-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 HIGH RIDGE RD",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601721407",
            "telephone_number": "708-334-1095",
            "fax_number": "866-834-3810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE TIKES THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-23",
        "last_updated": "2013-05-23",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-334-1095",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Park C H S District 108
• Catherine Larsen
• Daniel Joseph Lehoux, DC
• Rosina Elizabeth Hackl Leiner, M.S., CCC-SLP
• Wen S Li, D.C.
• Brainard G Llanes, D.D.S.
• Jeffrey Daniel Lundgren Sr., RPH
• Jane Madaj, IBCLC,RLC
• Kelsey Madaj, LMFT
• Jordan Marie Maisto, OTR/L

• Early Intervention Provider Agency in Roselle, IL
• Providers in Roselle, IL by specialty
• Early Intervention Provider Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.