CLEMENTINE PEDIATRICS, LLC
NPI 1134905482
Occupational Therapist - Feeding, Eating & Swallowing in Chicago, IL
NPI Status: Active since September 04, 2023
Contact Information
1757 N KIMBALL AVE STE 205A
CHICAGO, IL
ZIP 60647
Phone: (816) 914-0359
- Organization
- Occupational Therapist
- Feeding, Eating & Swallowing
- Accepts Insurance
About CLEMENTINE PEDIATRICS, LLC
This page provides the complete NPI Profile along with additional information for Clementine Pediatrics, Llc, a provider established in Chicago, Illinois operating as a Occupational Therapist, focusing in feeding, eating & swallowing . The healthcare provider is registered in the NPI registry with number 1134905482 assigned on September 2023. The practitioner's primary taxonomy code is 225XF0002X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Clementine Pediatrics, Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Sara P Vivoda Mot, Otr/l (Owner)
- NPI
- 1134905482
- Provider Name
- CLEMENTINE PEDIATRICS, LLC
- Entity Type
- Organization
- Location Address
- 1757 N KIMBALL AVE STE 205A CHICAGO, IL 60647
- Location Phone
- (816) 914-0359
- Mailing Address
- 1757 N KIMBALL AVE STE 205A CHICAGO, IL 60647
- Mailing Phone
- (816) 914-0359
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-04-2023
- Last Update Date
- 09-05-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Occupational Therapist Feeding, Eating & Swallowing
- Taxonomy Code
- 225XF0002X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy Description
- Occupational therapists provide interventions to clients of all ages with feeding, eating and swallowing difficulties. Occupational therapists provide comprehensive rehabilitative, habilitative, and palliative dysphagia care, which includes collaborating with clients to provide individualized compensatory swallowing strategies, modified diet textures, adapted mealtime environments, enhanced feeding skills, preparatory exercises and positioning to clients, reinforcement of mealtime strategies to enhance and improve swallowing skills, and training to caregivers to enhance eating and feeding performance. Occupational therapists provide screening and in-depth clinical assessment which may include instrumental dysphagia assessments including videofluroscopy.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? 901 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 3 | 4 | 9 | 0 | 5 | 4 | 8 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 6 | 4 | 18 | 0 | 10 | 4 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 6 + 4 + 1 + 8 + 0 + 1 + 0 + 4 + 1 + 6 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1134905482 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1124377635 | SARA PROBASCO VIVODA MOT, OTR/L Individual | Occupational Therapist | 1757 N KIMBALL AVE STE 205A CHICAGO, IL 60647 (816) 914-0359 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134905482, enumerated in the NPI registry as an "organization" on September 04, 2023
The provider is located at 1757 N Kimball Ave Ste 205a Chicago, Il 60647 and the phone number is (816) 914-0359
This medical organization specializes in Occupational Therapist with taxonomy code 225XF0002X with a focus in Feeding, Eating & Swallowing
The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on September 04, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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