Active NPI
Fun Moves
- Pediatric Occupational Therapist
- Chicago, IL
National Provider Identifier
1982063053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 056001897
- Legal business name
- FUN MOVES
- Practice address
- 2500 W Bradley PL
Chicago, IL 60618-4702 - Phone
- (773) 991-7316
- Fax
- (773) 572-4886
- NPI assigned
- Feb 18, 2016
- Last updated
- Feb 18, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Frank Lucas
- Title
- Director
- Phone
- (847) 873-5779
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 056001897 | IL | Primary |
Addresses
Primary practice location
2500 W Bradley PL
Chicago, IL 60618-4702
Mailing address
3344 Bellwood LN
Glenview, IL 60026-1528
Phone (773) 991-7316
National Provider Directory
National Provider DirectoryPractitioners & 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": "1455753600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1455753600000",
"number": "1982063053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3344 BELLWOOD LN",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600261528",
"telephone_number": "773-991-7316",
"fax_number": "773-572-4886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 W BRADLEY PL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606184702",
"telephone_number": "773-991-7316",
"fax_number": "773-572-4886"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FUN MOVES",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-18",
"last_updated": "2016-02-18",
"status": "A",
"authorized_official_last_name": "LUCAS",
"authorized_official_first_name": "FRANK",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "847-873-5779",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "IL",
"license": "056001897",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.