Kaila Thierjung

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056.012848 Issued in IL

Practice address

1101 W. 31St St. Ste 110
Downers Grove, IL 60515

Phone

(630) 929-0122

NPI assigned

Jul 15, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kaila Walter Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Pediaprogress, Inc.

  • Multi-Specialty Clinic/Center
  • Downers Grove, IL
  • NPI 1740439942
  NPD

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1972155364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 W. 31ST ST. STE 110",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "60515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 W. 31ST ST. STE 110",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "60515",
            "telephone_number": "630-929-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIERJUNG",
        "first_name": "KAILA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-15",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056012848",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.012848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAILA",
            "last_name": "WALTER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• The Meadows of Wickenburg, Inc.
• The Speech, Language, and Music Center, PLLC
• The Weave Luxe Bar
• The Wellness Pros, Inc.
• Therapeutic Strategies, Inc
• Jill Anna Thiffault, RN
• Thomas E. Blaney, DPM, P.C.
• Anna Thompson
• Tara Thompson
• Teresa Thompson

• Occupational Therapist in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; 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.