Organization Active NPI

Purposeful Play, Inc.

  • Pediatric Occupational Therapist
  • San Diego, CA
National Provider Identifier
1124340856
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT 5039 Issued in CA
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

Updated by the provider on Feb 22, 2010

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)CodeLicenseStatePrimary
Feeding, Eating & Swallowing Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XF0002X OT 5039 CA
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.