Prosperous Play Therapies, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PROSPEROUS PLAY THERAPIES, LLC

Practice address

1897 Spruce Fork Rd
Buckhannon, WV 26201-4098

Phone

(304) 613-9277

NPI assigned

Aug 19, 2021

Organization subpart

No

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

Authorized official

Name

Molly Latoche, DPT

Title

Owner

Phone

(304) 613-9277

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629331200000",
    "number": "1043986086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 465",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262010465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1897 SPRUCE FORK RD",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262014098",
            "telephone_number": "304-613-9277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPEROUS PLAY THERAPIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-19",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A",
        "authorized_official_last_name": "LATOCHE",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-613-9277",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Povroznik, MS, RD, LD
• Peter James Power Jr., M.D.
• Jamie Powers
• Ashley D Prichard
• Holly Proctor
• Joseph Puffenbarger
• April Nicole Pugh
• Cindy Louise Pugh
• Amy L Queen, PHYSICAL THERAPIST
• Ellen Radabaugh

• Physical Therapy Clinic/Center in Buckhannon, WV
• Providers in Buckhannon, WV by specialty
• Physical Therapy Clinic/Center in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; 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.