Healthcare Provider Details

I. General information

NPI: 1548687338
Provider Name (Legal Business Name): ADAPTATIONS UNLIMITED, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2014
Last Update Date: 09/25/2023
Certification Date: 09/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6906 MASON HILL RD
MCHENRY IL
60050-6411
US

IV. Provider business mailing address

6906 MASON HILL RD
MCHENRY IL
60050-6411
US

V. Phone/Fax

Practice location:
  • Phone: 847-651-8083
  • Fax:
Mailing address:
  • Phone: 847-651-8083
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: DR. KAITLYN J DAVIS
Title or Position: PEDIATRIC OCCUPATIONAL THERAPIST
Credential: OTD, OTR/L
Phone: 847-651-8083