Organization Active NPI

Eat Play Love

  • Physical Therapy Clinic/Center
  • Lake Forest, CA
National Provider Identifier
1023884285
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
EAT PLAY LOVE
Practice address
24165 Minnetonka LN
Lake Forest, CA 92630-1914
Phone
(949) 701-1896
NPI assigned
Nov 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Authorized official

Name
Brittany Glass, OTR/L, SWC, CLCNPI 1134557531
Title
Owner/Occupational Therapist
Phone
(949) 701-1896

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

24165 Minnetonka LN
Lake Forest, CA 92630-1914

Mailing address

24165 Minnetonka LN
Lake Forest, CA 92630-1914
Phone (949) 701-1896

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1023884285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24165 MINNETONKA LN",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926301914",
            "telephone_number": "949-701-1896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24165 MINNETONKA LN",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926301914",
            "telephone_number": "949-701-1896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAT PLAY LOVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-29",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "GLASS",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "OWNER/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "949-701-1896",
        "authorized_official_credential": "OTR/L, SWC, CLC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.