Organization Active NPI

Playful Pathways Therapy

  • Occupational Therapist
  • Crosby, MN
National Provider Identifier
1093404014
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
PLAYFUL PATHWAYS THERAPY
Practice address
604 Oak St
Crosby, MN 56441-1244
Phone
(320) 292-2166
NPI assigned
May 4, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Authorized official

Name
Alisha Elsperger, MOTR/LNPI 1518485556
Title
Owner
Phone
(320) 292-2166

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
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

604 Oak St
Crosby, MN 56441-1244

Mailing address

23747 Foothills Dr
Deerwood, MN 56444-6329
Phone (320) 292-2166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230912003912 MN Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8224492012 Receives reassigned benefits from 1 practitioner
Practice locations: Crosby, MN

National Provider Directory

National Provider Directory

Locations

604 Oak St
Crosby, MN 56441
Phone (320) 292-2166

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": "1683158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1093404014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23747 FOOTHILLS DR",
            "city": "DEERWOOD",
            "state": "MN",
            "postal_code": "564446329",
            "telephone_number": "320-292-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 OAK ST",
            "city": "CROSBY",
            "state": "MN",
            "postal_code": "564411244",
            "telephone_number": "320-292-2166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAYFUL PATHWAYS THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-04",
        "last_updated": "2023-07-26",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "ELSPERGER",
        "authorized_official_first_name": "ALISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-292-2166",
        "authorized_official_credential": "MOTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crosby, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.