Playwell Pediatric Therapy LLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

PLAYWELL PEDIATRIC THERAPY LLC

Practice address

7047 N 15TH St
Dalton Gardens, ID 83815-9595

Phone

(562) 212-6891

NPI assigned

May 20, 2024

Last updated

Jul 1, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lanmana Parys-Wolodkewitsch

Title

Owner

Phone

(562) 212-6891

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1215776455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7047 N 15TH ST",
            "city": "DALTON GARDENS",
            "state": "ID",
            "postal_code": "838159595",
            "telephone_number": "562-212-6891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7047 N 15TH ST",
            "city": "DALTON GARDENS",
            "state": "ID",
            "postal_code": "838159595",
            "telephone_number": "562-212-6891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAYWELL PEDIATRIC THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "PARYS-WOLODKEWITSCH",
        "authorized_official_first_name": "LANMANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-212-6891"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Occupational Therapist in Dalton Gardens, ID
• Providers in Dalton Gardens, ID by specialty
• Pediatric Occupational Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.