Pediatric Home Therapy

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

PEDIATRIC HOME THERAPY

Doing business as

Pediatric Home Therapy

Practice address

1966 Rosemary Cir
Sandwich, IL 60548-9332

Phone

(815) 790-8657

NPI assigned

Jul 26, 2022

Last updated

Jul 26, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brittany Cukierski, PT

Title

Physical Therapist

Phone

(815) 790-8657

Specialties & licenses 1

Addresses

Other names 1

• Pediatric Home Therapy Doing business as

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.

• Anthony Michael Cukierski, ATC

  • Athletic Trainer
  • Oak Lawn, IL
  • NPI 1396178257
  NPD

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658793600000",
    "number": "1982330510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1966 ROSEMARY CIR",
            "city": "SANDWICH",
            "state": "IL",
            "postal_code": "605489332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1966 ROSEMARY CIR",
            "city": "SANDWICH",
            "state": "IL",
            "postal_code": "605489332",
            "telephone_number": "815-790-8657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC HOME THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A",
        "authorized_official_last_name": "CUKIERSKI",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "815-790-8657",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Home Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leslie Ann Oliver, CNM, APRN
• Open Door Rehabilitation Center
• Jill M Palko, M.D.
• Pavilion on Main Street LLC (Pavilion on Main Street)
• Peace & Consolation Counseling LLC
• Jennifer Lynn Pellicano, PSYD
• Petersen Health Business, LLC (Sandwich Rehabilitation & Health Care Center)
• Audrey Peterson, ALMFT
• Allison Peuler
• Pharmacy Operations, Inc (Medicine Shoppe)

• Early Intervention Provider Agency in Sandwich, IL
• Providers in Sandwich, IL by specialty
• Early Intervention Provider Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.