Play and Learn Developmental Therapy, LLC

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

License

SA87930903P Issued in IL

Legal business name

PLAY AND LEARN DEVELOPMENTAL THERAPY, LLC

Practice address

564 Bryce TRL
Roselle, IL 60172-1022

Phone

(847) 736-5297

Fax

(630) 529-1320

NPI assigned

Dec 6, 2016

Organization subpart

No

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

Authorized official

Name

Shari AndressNPI 1235268921

Title

Owner

Phone

(847) 736-5297

Specialties & licenses 1

Addresses

Tax ID family

Play and Learn Developmental Therapy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Play and Learn Developmental Therapy, LLC

  • Early Intervention Provider Agency
  • Schaumburg, IL
  • NPI 1346484300
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shari Andress, M. ED.

  • Developmental Therapist
  • Roselle, IL
  • NPI 1235268921
  NPD (past) Authorized official

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

{
    "created_epoch": "1480982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480982400000",
    "number": "1205370533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "564 BRYCE TRL",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601721022",
            "telephone_number": "847-736-5297",
            "fax_number": "630-529-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "564 BRYCE TRL",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601721022",
            "telephone_number": "847-736-5297",
            "fax_number": "630-529-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAY AND LEARN DEVELOPMENTAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-06",
        "last_updated": "2016-12-06",
        "status": "A",
        "authorized_official_last_name": "ANDRESS",
        "authorized_official_first_name": "SHARI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-736-5297"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Developmental Therapist",
            "state": "IL",
            "license": "SA87930903P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Lynn Peters
• Katie J Peterson, PT
• Matthew John Phan, DDS
• Pharma Medical Supply Inc
• Dina Philp
• Podiatry & Sports Center, LTD.
• Khairunnisa Syeda Quadri
• Kelly Ann Rainey
• Real Food Nutrition, LLC
• Sukanya Reddy, M.D.

• Developmental Therapist in Roselle, IL
• Providers in Roselle, IL by specialty
• Developmental Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; 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.