CLEMENTINE PEDIATRICS, LLC
NPI 1134905482
Occupational Therapist in Chicago, IL

Active since September 04, 2023
1757 N KIMBALL AVE STE 205A, CHICAGO, IL 60647(816) 914-0359 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Clementine Pediatrics, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLEMENTINE PEDIATRICS, LLC (NPI 1134905482) is a healthcare organization registered as an occupational therapist in Chicago, Illinois and active in the NPI registry since September 2023. The organization lists Sara P Vivoda, Owner, as its authorized official.

NPPES Registry Identity

NPI1134905482
Entity TypeOrganization
Primary Taxonomy225X00000X
Legal Business NameCLEMENTINE PEDIATRICS, LLC
Location Address1757 N KIMBALL AVE STE 205AChicago, IL 60647-4805
Mailing Address1757 N Kimball Ave Ste 205aChicago, IL 60647-4805 · (816) 914-0359
Organization SubpartNo
Authorized OfficialSara P VivodaOwner · (816) 914-0359
Enumeration DateSeptember 4, 2023
Last NPPES UpdateOctober 1, 2025
NPPES CertifiedOctober 1, 2025
NPI 1134905482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
Definition

An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

Also ListedLactation Consultant, Non-RNTaxonomy 174N00000X
1757 N KIMBALL AVE STE 205A, Chicago, IL 60647

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
1757 N KIMBALL AVE STE 205A
CHICAGO, IL 60647

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clementine Pediatrics, LLC's NPI number?

The NPI number for Clementine Pediatrics, LLC is 1134905482. It was assigned to this organization in the NPPES registry on September 4, 2023.

Where is Clementine Pediatrics, LLC located?

Clementine Pediatrics, LLC is located at 1757 N Kimball Ave Ste 205A, Chicago, IL 60647. The listed phone number is (816) 914-0359.

What is Clementine Pediatrics, LLC's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

When was this NPI record last updated?

The NPPES record for Clementine Pediatrics, LLC was last updated on October 1, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.