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M STREET PEDIATRIC THERAPY CORP NPI 1588193593


NPI Information

NPI: 1588193593
Provider Name: M STREET PEDIATRIC THERAPY CORP
Classification: Physical Therapist - 2251P0200X
Entity Type: Organization

Specialization: Pediatrics

Address:
719 N MARION ST
OAK PARK, IL
ZIP 60302
Phone: (312) 401-0975
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M STREET PEDIATRIC THERAPY CORP is a pediatrics physical therapist in Oak Park, IL. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given. M STREET PEDIATRIC THERAPY CORP NPI is 1588193593. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

719 N MARION ST
OAK PARK, IL
ZIP 60302-530
Phone: (312) 401-0975

The provider's authorized official is Alison Liddle .
The authorized official title is Owner and has the following contact phone number (312) 401-0975.

The enumeration date for this NPI number is 6/5/2017 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225XP0200XOccupational TherapistPediatricsNo
2235Z00000XSpeech-Language PathologistNo
3101Y00000XCounselorNo
41041C0700XSocial WorkerClinicalNo
52251P0200XPhysical TherapistPediatricsILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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