Playpath Therapy

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

OT4352 Issued in CA

Legal business name

PLAYPATH THERAPY

Practice address

750 Farroll Rd
Unit E
Grover Beach, CA 93433-2654

Phone

(805) 481-7529

Fax

(805) 481-7529

NPI assigned

Oct 13, 2008

Last updated

Apr 7, 2010By 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

Mr. Lawrence Alan Bardach, O.T.NPI 1205092038

Title

Pediatric Occupational Therapist

Phone

(805) 481-7529

Specialties & licenses 1

Addresses

Other names 1

• Larbardo Corporation Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lawrence Alan Bardach, OTR / L

  • Specialist
  • Grover Beach, CA
  • NPI 1205092038
  NPD (past) Authorized official

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

{
    "created_epoch": "1223856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270598400000",
    "number": "1225280027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 FARROLL RD",
            "address_2": "UNIT E",
            "city": "GROVER BEACH",
            "state": "CA",
            "postal_code": "934332654",
            "telephone_number": "805-481-7529",
            "fax_number": "805-481-7529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 FARROLL RD",
            "address_2": "UNIT E",
            "city": "GROVER BEACH",
            "state": "CA",
            "postal_code": "934332654",
            "telephone_number": "805-481-7529",
            "fax_number": "805-481-7529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAYPATH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-13",
        "last_updated": "2010-04-07",
        "status": "A",
        "authorized_official_last_name": "BARDACH",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PEDIATRIC OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "805-481-7529",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "O.T."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "OT4352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Larbardo Corporation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Destiny Perez
• Raul D Perez, DDS
• Jamie Peterson, RN
• Kathryn M Phelan, DOCTOR OF CHIROPRACT
• Phyllis Borgardt & Assc., Inc. (Mobility Therapy)
• Naomie Plyler
• Natalie Plyler
• Patricia A Power, L.AC.
• Alan D Prince, OTR/L
• Kassondra Paige Quaglino

• Behavior Analyst in Grover Beach, CA
• Providers in Grover Beach, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.