Organization Active NPI

Play All Day Pediatric Therapy LLC

  • Pediatric Occupational Therapist
  • O Fallon, MO
National Provider Identifier
1124721998
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
PLAY ALL DAY PEDIATRIC THERAPY LLC
Practice address
1001 Boardwalk Springs PL Ste 107
O Fallon, MO 63368-4778
Phone
(636) 443-5379
NPI assigned
Mar 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Authorized official

Name
Trina Nicole Blackwood, MOTR/LNPI 1760746648
Title
Occupational Therapist
Phone
(636) 443-5379

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X Primary

Addresses

Primary practice location

1001 Boardwalk Springs PL Ste 107
O Fallon, MO 63368-4778

Mailing address

101 Chapel Grove CT
Wentzville, MO 63385-4339
Phone (636) 443-5379

National Provider Directory

National Provider Directory

Locations

1001 Boardwalk Springs Pl
Ste 107
O Fallon, MO 63368
Phone (636) 443-5379

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": "1679443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1124721998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CHAPEL GROVE CT",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633854339",
            "telephone_number": "636-443-5379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 BOARDWALK SPRINGS PL STE 107",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633684778",
            "telephone_number": "636-443-5379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAY ALL DAY PEDIATRIC THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-22",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A",
        "authorized_official_last_name": "BLACKWOOD",
        "authorized_official_first_name": "TRINA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "636-443-5379",
        "authorized_official_credential": "MOTR/L"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O Fallon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.