Healthcare Provider Details

I. General information

NPI: 1851902977
Provider Name (Legal Business Name): ALLIED THERAPY PARTNERS, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2020
Last Update Date: 02/08/2025
Certification Date: 02/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4022 W NEWPORT AVE
CHICAGO IL
60641-4021
US

IV. Provider business mailing address

4022 W NEWPORT AVE
CHICAGO IL
60641-4021
US

V. Phone/Fax

Practice location:
  • Phone: 859-496-1799
  • Fax:
Mailing address:
  • Phone: 859-496-1799
  • Fax:

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 TaxonomyY
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 Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MRS. JESSICA KERR
Title or Position: MANAGING PARTNER
Credential: PT, DPT
Phone: 859-496-1799