Children's TL

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4527 Issued in LA

Legal business name

CHILDREN'S TL

Doing business as

Geaux Play Pediatric Therapy Services

Practice address

5637 Commerce Street
St. Francisville, LA 70775

Phone

(225) 245-5170

NPI assigned

Nov 22, 2016

Last updated

Aug 21, 2020By 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

Kelly Boenig D'AquillaNPI 1598966954

Title

Owner

Phone

(225) 245-5170

Specialties & licenses 3

Addresses

Other names 1

• Geaux Play Pediatric Therapy Services Doing business as

Practitioners 5

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.

• Kelly Boenig D'Aquilla, LOTR

  • Occupational Therapist
  • Saint Francisville, LA
  • NPI 1598966954
  NPD Authorized official
• Nancy Bickham Rider, COTA

  • Occupational Therapy Assistant
  • Saint Francisville, LA
  • NPI 1487204616
  NPD
• Mary McGraw, LOTR, OTD

  • Occupational Therapist
  • Saint Francisville, LA
  • NPI 1962323410
  NPD (past)
• Lauren Davis Paxton, MA, CCC-L/SLP

  • Speech-Language Pathologist
  • Monroe, LA
  • NPI 1215382924
  NPD (past)
• Madison Stelly

  • Speech-Language Pathologist
  • Saint Francisville, LA
  • NPI 1164354585
  NPD (past)

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

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597968000000",
    "number": "1083157143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1593",
            "city": "SAINT FRANCISVILLE",
            "state": "LA",
            "postal_code": "707751593",
            "telephone_number": "225-245-5170",
            "fax_number": "225-308-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5637 COMMERCE STREET",
            "city": "ST. FRANCISVILLE",
            "state": "LA",
            "postal_code": "70775",
            "telephone_number": "225-245-5170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S TL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-22",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A",
        "authorized_official_last_name": "D'AQUILLA",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "BOENIG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-245-5170"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "Z12040",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "4527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Geaux Play Pediatric Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Geaux Play Pediatric Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Grace Ellen Burns
• Erin Lofton Cain, M.A., SLP
• Capital Area Human Services District (West Feliciana Behavioral Health CCBHC)
• Capital Area Human Services District (West Feliciana Center for Addiction Recovery)
• Charles Brent Wilson DDS LLC (St. Francisville Family Dentistry)
• Mark Chustz, LCSW
• Clear Path to Wellness
• Clifton G. Elliott, LLC (Elliott Pharmacy)
• Commute Safer Medi Trans LLC
• Brittany L. Cooper, APRN, FNP-C

• Speech-Language Pathologist in Saint Francisville, LA
• Providers in Saint Francisville, LA by specialty
• Speech-Language Pathologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; 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.