Organization Active NPI

Walk & Play Therapy, Inc.

  • Pediatric Physical Therapist
  • Gurnee, IL
National Provider Identifier
1881605400
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
Legal business name
WALK & PLAY THERAPY, INC.
Practice address
17572 W Bridle Trail Rd
Gurnee, IL 60031-1649
Phone
(847) 263-1516
Fax
(847) 263-1516
NPI assigned
Aug 10, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Fehmida Mohamed Habib Valiullah, PTNPI 1275755241
Title
President
Phone
(847) 263-1516

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)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X IL Primary

Addresses

Primary practice location

17572 W Bridle Trail Rd
Gurnee, IL 60031-1649

Mailing address

17572 W Bridle Trail Rd
Gurnee, IL 60031-1649
Phone (847) 263-1516

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881605400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17572 W BRIDLE TRAIL RD",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600311649",
            "telephone_number": "847-263-1516",
            "fax_number": "847-263-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17572 W BRIDLE TRAIL RD",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600311649",
            "telephone_number": "847-263-1516",
            "fax_number": "847-263-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALK & PLAY THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VALIULLAH",
        "authorized_official_first_name": "FEHMIDA",
        "authorized_official_middle_name": "MOHAMED HABIB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-263-1516",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurnee, 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.

Verify at the official NPI Registry.