Healthcare Provider Details

I. General information

NPI: 1508785429
Provider Name (Legal Business Name): HIGH FIVE KIDS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7255 W PETERSON AVE
CHICAGO IL
60631-3622
US

IV. Provider business mailing address

7255 W PETERSON AVE
CHICAGO IL
60631-3622
US

V. Phone/Fax

Practice location:
  • Phone: 773-480-7706
  • Fax: 872-225-3087
Mailing address:
  • Phone: 773-480-7706
  • Fax: 872-225-3087

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MEAGHAN MORIARTY
Title or Position: OWNER/DIRECTOR
Credential: MA CCC-SLP
Phone: 773-480-7706