Playtastic Pediatric Therapy

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

PLAYTASTIC PEDIATRIC THERAPY

Doing business as

Playtastic Pediatric Therapy

Practice address

6709 La Tijera Blvd
Los Angeles, CA 90045-2017

Phone

(310) 753-9259

NPI assigned

Jul 16, 2020

Last updated

Feb 16, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brandi GlennNPI 1447649108

Title

Ceo

Phone

(310) 753-9259

Specialties & licenses 1

Addresses

Other names 1

• Playtastic Pediatric Therapy Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brandi Glenn

  • Occupational Therapist
  • Carson, CA
  • NPI 1447649108
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644969600000",
    "number": "1003424086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 W 190TH ST STE 103",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902484315",
            "telephone_number": "310-753-9259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6709 LA TIJERA BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900452017",
            "telephone_number": "310-753-9259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAYTASTIC PEDIATRIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-16",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A",
        "authorized_official_last_name": "GLENN",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-753-9259"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Playtastic Pediatric Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Playtastic Pediatric Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Occupational Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.