Healthcare Provider Details

I. General information

NPI: 1871453431
Provider Name (Legal Business Name): PLANTING SKILLS THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2025
Last Update Date: 11/17/2025
Certification Date: 11/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8755 W 108TH DR
SAINT JOHN IN
46373-9809
US

IV. Provider business mailing address

8755 W 108TH DR
SAINT JOHN IN
46373-9809
US

V. Phone/Fax

Practice location:
  • Phone: 312-504-3532
  • Fax:
Mailing address:
  • Phone: 312-504-3532
  • 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: KAYLA JORDAN FREEMAN
Title or Position: OCCUPATIONAL THERAPIST
Credential: MOT, OTR/L
Phone: 312-504-3532