PEDIATRIC THERAPY NETWORK (NPI# 1831479542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831479542 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC THERAPY NETWORK |
| Practice Address |
2506 N Clark St #158 Chicago IL 60614-1848 |
| Practice Telephone | 3122780022 |
| Practice Fax Number | 8889753791 |
| Mailing Telephone | 3122780022 |
| Mailing Fax Number | 8889753791 |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2015-09-22 |
| Authorized Official Name | TRISTON KEE (PHYSICAL THERAPIST) |
| Authorized Official Telephone | 3122780022 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 070011057 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225X00000X | Occupational Therapist | 056003575 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | IL | Speech, Language and Hearing Service Providers | |
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
070010589 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871648279 | Pediatric Therapy Network | Physical Therapist | 1815 W 213th St, Suite 100, Torrance, CA 90501-2800 | 2007-01-24 |
| 1225459605 | Pediatric Therapy Network | Community/Behavioral Health | 1154 Lenoir Rhyne Blvd Se, Hickory, NC 28602-5168 | 2014-01-02 |
| 1255779096 | Pediatric Therapy Network | Public Health or Welfare | 1815 W 213th St, Torrance, CA 90501-2800 | 2013-06-13 |
| 1639312929 | Pediatric Therapy Network | Case Management | 1815 W 213th St, 100, Torrance, CA 90501-2800 | 2009-04-16 |
| Street Address |
2506 N CLARK ST #158 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60614-1848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538107321 | Johnson Mao | Specialist | 2506 N Clark St, #282, Chicago, IL 60614-1848 | 2006-06-03 |
| 1326597675 | Karah Bush | Physical Therapist | 2506 N Clark St, Chicago, IL 60614-1848 | 2016-09-28 |
| 1891186425 | Elizabeth Puckett | Speech-Language Pathologist | 2506 N Clark St, Suite 158, Chicago, IL 60614-1848 | 2015-02-18 |
| 1265832448 | Melanie Gross | Physical Therapist | 2506 N Clark St, Ste 158, Chicago, IL 60614-1848 | 2014-08-25 |
| 1639595945 | Katherine Dixon | Speech-Language Pathologist | 2506 N Clark St, Chicago, IL 60614-1848 | 2014-03-11 |
| 1982039541 | Sarah Jane Marshall | Occupational Therapist | 2506 N Clark St, 158, Chicago, IL 60614-1848 | 2013-09-13 |
| 1184966467 | Jessica M John | Occupational Therapist | 2506 N Clark St, Suite 158, Chicago, IL 60614-1848 | 2013-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487266516 | Taylor Connington | Pharmacist | 843 W Armitage Ave, Chicago, IL 60614 | 2020-08-19 |
| 1356975692 | Amarilis Diaz | Social Worker | Terry Hefter Associates, LLC, 1731 N. Marcey Suite 535, Chicago, IL 60614 | 2020-02-25 |
| 1457902975 | Michele Waggoner | Physical Therapist | 2515 N. Clark St, Chicago, IL 60614 | 2019-09-25 |
| 1669031936 | Justin Pomeroy | Acupuncturist | 1350 W. Schubert Ave., Chicago, IL 60614 | 2019-06-11 |
| 1801451547 | Amanda Harris | Counselor | 2451 N Lincoln Ave # 206, Chicago, IL 60614 | 2019-05-08 |
| 1780164574 | Danielle Trokey | Psychiatry & Neurology | 2515 N Clark St Ste 801, Chicago, IL 60614 | 2018-08-21 |
| 1841707353 | Madison Counseling Solutions LLC | Social Worker | 2502 N. Clark St., Chicago, IL 60614 | 2018-01-05 |
| 1386154011 | Allison Cooper Boyan | Occupational Therapist | 1640 N. Wells St., Unit 103, Chicago, IL 60614 | 2017-10-09 |
| 1245759653 | Eileen Davidson Siegel | Physician Assistant | 2073 N. Clybourn Ave., Chicago, IL 60614 | 2017-09-18 |
| 1447779814 | Elizabeth Hobart | Psychologist | 1800 W. Diversey Pkwy, Unit H, Chicago, IL 60614 | 2017-09-16 |
| Find all providers in zip 60614 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841750411 | Crawl Walk Leap P.C. | Physical Therapist | 720 W Randolph St Apt 1103, Chicago, IL 60661-2171 | 2019-03-21 |
| 1912478777 | Elaine Rodriguez | Physical Therapist | 3332 N Kostner Ave, Chicago, IL 60641-4513 | 2018-12-05 |
| 1669915674 | Anna's Pediatric Physical Therapy LLC | Physical Therapist | 2120 W Armitage Ave, Unit 1, Chicago, IL 60647-4516 | 2016-11-22 |
| 1669840005 | Kateland Hojnacki | Physical Therapist | 431 W Belden Ave, C203, Chicago, IL 60614-3867 | 2015-09-02 |
| 1033522362 | Starting Smart LLC | Physical Therapist | 3359 N Seminary Ave # 1, Chicago, IL 60657-2220 | 2014-06-04 |
| 1770996159 | Sydney Steininger | Physical Therapist | 2315 N Leavitt St, Apt 3r, Chicago, IL 60647-3273 | 2014-06-03 |
| 1184989964 | Debra Renae Nickoli | Physical Therapist | 401 E Ontario St Apt 4003, Chicago, IL 60611-4443 | 2012-07-09 |
| 1326352899 | Sandra Maria De Jesus | Physical Therapist | 3630 N. Harlem Avenue, 214, Chicago, IL 60634-3194 | 2010-07-27 |
| 1528384971 | New City Therapy, Inc. | Physical Therapist | 2644 W Cermak Rd, Chicago, IL 60608-3515 | 2010-04-09 |
| 1104056571 | Abbey Louise Melling | Physical Therapist | 1 W Superior St, Apt. 908, Chicago, IL 60654-8803 | 2009-07-20 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.