MEDICARE: ACHIEVE PEDIATRIC THERAPY, LLC

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	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1588514939
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACHIEVE PEDIATRIC THERAPY, LLC

Provider Business Mailing Address
First Line	:	7358 N LINCOLN AVE STE 170
Second Line	:
City	:	LINCOLNWOOD
State	:	IL
Zip	:	60712-1710
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7358 N LINCOLN AVE STE 170
Second Line	:
City	:	LINCOLNWOOD
State	:	IL
Zip	:	60712-1710
Country	:	US
Telephone Number	:	855-673-0845
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	BASIE GOLDFEDER
Credential	:	MASLP
Telephone Number	:	877-522-4438

Provider Enumeration Date	:	02/03/2026
Last Update Date	:	02/03/2026

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