Organization Active NPI

Seacoast Play Works Therapy, PLLC

  • Pediatric Occupational Therapist
  • Brentwood, NH
National Provider Identifier
1093180986
Registry record updated Dec 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
2374 Issued in NH
Legal business name
SEACOAST PLAY WORKS THERAPY, PLLC
Practice address
15 Balsam LN
Brentwood, NH 03833-4434
Phone
(978) 799-2580
Fax
(603) 658-5435
NPI assigned
Dec 3, 2015
Last updated
Dec 3, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2015

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

Authorized official

Name
Kristen M Goodrich, OTRNPI 1083835482
Title
Owner
Phone
(978) 799-2580

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XP0200X 2374 NH Primary

Addresses

Primary practice location

15 Balsam LN
Brentwood, NH 03833-4434

Mailing address

15 Balsam LN
Brentwood, NH 03833-4434
Phone (978) 799-2580

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449100800000",
    "number": "1093180986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BALSAM LN",
            "city": "BRENTWOOD",
            "state": "NH",
            "postal_code": "038334434",
            "telephone_number": "978-799-2580",
            "fax_number": "603-658-5435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 BALSAM LN",
            "city": "BRENTWOOD",
            "state": "NH",
            "postal_code": "038334434",
            "telephone_number": "978-799-2580",
            "fax_number": "603-658-5435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEACOAST PLAY WORKS THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-03",
        "last_updated": "2015-12-03",
        "status": "A",
        "authorized_official_last_name": "GOODRICH",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-799-2580",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NH",
            "license": "2374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; 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.