Pediatric Therapy Network

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

070010589 Issued in IL

Legal business name

PEDIATRIC THERAPY NETWORK

Practice address

2506 N Clark St
#158
Chicago, IL 60614-1848

Phone

(312) 278-0022

Fax

(888) 975-3791

NPI assigned

Aug 25, 2011

Organization subpart

No

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

Authorized official

Name

Triston Kee, PT

Title

Physical Therapist

Phone

(312) 278-0022

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442880000000",
    "number": "1831479542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2506 N CLARK ST",
            "address_2": "#158",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141848",
            "telephone_number": "312-278-0022",
            "fax_number": "888-975-3791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2506 N CLARK ST",
            "address_2": "#158",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141848",
            "telephone_number": "312-278-0022",
            "fax_number": "888-975-3791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC THERAPY NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-25",
        "last_updated": "2015-09-22",
        "status": "A",
        "authorized_official_last_name": "KEE",
        "authorized_official_first_name": "TRISTON",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "312-278-0022",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070011057",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "IL",
            "license": "070010589",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056003575",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric General Care & Research
• Pediatric General Care & Research Fund
• Pediatric Orthotic and Prosthetic Services - Midwest, LLC
• Pediatric Therapy Connections, Inc
• Pediatric Therapy Group
• Pediatric Therapy Solutions, Inc.
• Pediatricare
• Pediatrics & Dermatology SC
• Claudia Pedraza Leon
• James Pedraza Jr.

• Pediatric Physical Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Pediatric Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; 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.