MEDICARE: NEW CITY THERAPY, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225XP0200X	Pediatric Occupational Therapist	056003500	IL
2	225700000X	Massage Therapist	227011382	IL
3	2251P0200X	Pediatric Physical Therapist	070006056	IL
4	252Y00000X	Early Intervention Provider Agency

General Provider Information

NPI Number	:	1528384971
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW CITY THERAPY, INC.

Provider Business Mailing Address
First Line	:	2644 W CERMAK RD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60608-3515
Country	:	US
Telephone Number	:	312-479-3258
Fax Number	:	773-305-8088

Provider Business Practice Location Address
First Line	:	2943 W 63RD ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60629-2753
Country	:	US
Telephone Number	:	312-479-3258
Fax Number	:	773-305-8088

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MARIA I. REYES
Credential	:	OTD
Telephone Number	:	312-479-3258

Provider Enumeration Date	:	04/09/2010
Last Update Date	:	04/14/2026

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Directions to “NEW CITY THERAPY, INC. ” Practice Location

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