Active NPI
Purposeful Play, Inc.
- Pediatric Occupational Therapist
- San Diego, CA
National Provider Identifier
1124340856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT 5039
- Legal business name
- PURPOSEFUL PLAY, INC.
- Practice address
- 3026 Juniper St
San Diego, CA 92104-5437 - Phone
- (619) 746-8231
- Fax
- (619) 255-1639
- NPI assigned
- Feb 22, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tad Bruneau
- Title
- Ceo
- Phone
- (619) 746-8231
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Feeding, Eating & Swallowing Occupational Therapist | 225XF0002X | OT 5039 | CA | |
| Pediatric Occupational Therapist | 225XP0200X | OT 5039 | CA | Primary |
Addresses
Primary practice location
3026 Juniper St
San Diego, CA 92104-5437
Mailing address
3026 Juniper St
San Diego, CA 92104-5437
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1266796800000",
"number": "1124340856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3026 JUNIPER ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921045437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3026 JUNIPER ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921045437",
"telephone_number": "619-746-8231",
"fax_number": "619-255-1639"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PURPOSEFUL PLAY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-22",
"last_updated": "2010-02-22",
"status": "A",
"authorized_official_last_name": "BRUNEAU",
"authorized_official_first_name": "TAD",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "619-746-8231"
},
"taxonomies": [
{
"code": "225XF0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Feeding, Eating & Swallowing",
"state": "CA",
"license": "OT 5039",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Pediatrics",
"state": "CA",
"license": "OT 5039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.