{
"Npi": {
"NPI": "1346586310",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "KIDS CONNECTION THERAPY INC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "2057 E GAISOR DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CRETE",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60417-3506",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": null,
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2057 E GAISOR DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CRETE",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "60417-3506",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "708-672-6901",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "12/19/2012",
"LastUpdateDate": "12/19/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SCHRANZ",
"AuthorizedOfficialFirstName": "CAREN",
"AuthorizedOfficialMiddleName": "M.",
"AuthorizedOfficialTitle": "OCCUPATIONAL THERAPIST/OWNER",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DROT, MS, OTR/L",
"AuthorizedOfficialTelephoneNumber": "708-672-6901",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "252Y00000X",
"TaxonomyName": "Early Intervention Provider Agency",
"LicenseNumber": "056002561",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}