Active NPI
Marijo Kay Kleinfelder, OTRL
- Occupational Therapist
- Mokena, IL
National Provider Identifier
1851430169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056004024
- Practice address
- 19100 Crescent Dr
Suite 101 Kids Can DO, Inc
Mokena, IL 60448-7510 - Phone
- (708) 478-5400
- Fax
- (708) 478-5300
- NPI assigned
- Feb 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056004024 | IL | Primary |
Addresses
Primary practice location
19100 Crescent Dr
Suite 101 Kids Can DO, Inc
Mokena, IL 60448-7510
Mailing address
18440 Clyde Rd
Homewood, IL 60430
Phone (708) 957-9575
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056004024 | IL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids Can DO, Inc. | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Occupational Therapist
- Mokena, IL
- NPI 1861559585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488240000000",
"number": "1851430169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18440 CLYDE RD",
"city": "HOMEWOOD",
"state": "IL",
"postal_code": "60430",
"telephone_number": "708-957-9575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19100 CRESCENT DR",
"address_2": "SUITE 101 KIDS CAN DO, INC",
"city": "MOKENA",
"state": "IL",
"postal_code": "604487510",
"telephone_number": "708-478-5400",
"fax_number": "708-478-5300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEINFELDER",
"first_name": "MARIJO",
"middle_name": "KAY",
"name_prefix": "Mrs.",
"credential": "OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-05",
"last_updated": "2017-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056004024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mokena, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.