Organization Active NPI

Playology Pediatric Therapy

  • Speech-Language Pathologist
  • Bridgeport, WV
National Provider Identifier
1255134565
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
PLAYOLOGY PEDIATRIC THERAPY
Practice address
1219 Johnson Ave
Bridgeport, WV 26330-1353
Phone
(304) 629-4884
NPI assigned
Mar 31, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Authorized official

Name
Meredith Brianne Queen, M.A. CCC-SLPNPI 1790519361
Title
Owner
Phone
(304) 629-4884

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

1219 Johnson Ave
Bridgeport, WV 26330-1353

Mailing address

PO Box 1311
Bridgeport, WV 26330-6311
Phone (304) 629-4884

National Provider Directory

National Provider Directory

Locations

1219 Johnson Ave
Bridgeport, WV 26330
Phone (304) 629-4884

Practitioners & affiliated clinicians

Practitioners 2

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": "1743379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1255134565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1311",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263306311",
            "telephone_number": "304-629-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 JOHNSON AVE",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263301353",
            "telephone_number": "304-629-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAYOLOGY PEDIATRIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A",
        "authorized_official_last_name": "QUEEN",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_middle_name": "BRIANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-629-4884",
        "authorized_official_credential": "M.A. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; 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.