Provider Demographics
NPI:1467204164
Name:ROOTED TOGETHER, LLC
Entity Type:Organization
Organization Name:ROOTED TOGETHER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CARLEIGH
Authorized Official - Middle Name:
Authorized Official - Last Name:VANDETTA-SMITHERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:OTD, OTR/L, MA
Authorized Official - Phone:847-323-1356
Mailing Address - Street 1:86 HAWLEY AVE
Mailing Address - Street 2:
Mailing Address - City:WEST DUNDEE
Mailing Address - State:IL
Mailing Address - Zip Code:60118-2919
Mailing Address - Country:US
Mailing Address - Phone:847-323-1356
Mailing Address - Fax:
Practice Address - Street 1:86 HAWLEY AVE
Practice Address - Street 2:
Practice Address - City:WEST DUNDEE
Practice Address - State:IL
Practice Address - Zip Code:60118-2919
Practice Address - Country:US
Practice Address - Phone:847-323-1356
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-04
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty