Provider Demographics
NPI:1134539059
Name:STEP FORWARD THERAPY, LTD
Entity type:Organization
Organization Name:STEP FORWARD THERAPY, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MERIBETH
Authorized Official - Middle Name:M
Authorized Official - Last Name:CASSIDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-757-2815
Mailing Address - Street 1:3350 W SALT CREEK LN
Mailing Address - Street 2:SUITE 115
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-5023
Mailing Address - Country:US
Mailing Address - Phone:224-248-9449
Mailing Address - Fax:
Practice Address - Street 1:3350 W SALT CREEK LN
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-5023
Practice Address - Country:US
Practice Address - Phone:224-248-9449
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-30
Last Update Date:2017-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty