Anastasia Maria Vithoulkas, DT

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

License

AV42821006P Issued in IL

Practice address

18236 Clear Creek Xing
Orland Park, IL 60467-5237

Phone

(708) 478-5596

Fax

(708) 478-6773

NPI assigned

Apr 13, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Abc Developmental Play, LTD

  • Developmental Therapist
  • Orland Park, IL
  • NPI 1639565864
  NPD (past) Authorized official

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851516173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18236 CLEAR CREEK XING",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604675237",
            "telephone_number": "708-478-5596",
            "fax_number": "708-478-6773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18236 CLEAR CREEK XING",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604675237",
            "telephone_number": "708-478-5596",
            "fax_number": "708-478-6773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITHOULKAS",
        "first_name": "ANASTASIA",
        "middle_name": "MARIA",
        "credential": "DT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "IL",
            "license": "AV42821006P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Villarejo, L.P.C
• Carolina V Villrareal-Delraso
• Michael D Villwock, APRN, CNP
• Vision Source, P.C.
• Visionworks Inc
• Kelly Vitiritti, SLP/CFY
• Karla Voeun, SLP
• Paul Voltz
• Avni Vora, M.D.
• Mehul R Vora, MD

• Developmental Therapist in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Developmental Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.