NPIMap

Organization Active NPI

Playground Children's Therapy, LLC

  • Speech-Language Pathologist
  • Warner Robins, GA
National Provider Identifier
1295340776
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
PLAYGROUND CHILDREN'S THERAPY, LLC
Practice address
208 Smithville Church Rd
Warner Robins, GA 31088-7802
Phone
(478) 333-2333
Fax
(478) 285-4256
NPI assigned
Sep 11, 2020
Last updated
Jan 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Authorized official

Name
Nicole Knight
Title
Owner
Phone
(478) 333-2333

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

208 Smithville Church Rd
Warner Robins, GA 31088-7802

Mailing address

208 Smithville Church Rd
Warner Robins, GA 31088-7802
Phone (478) 333-2333

National Provider Directory

National Provider Directory

Locations

208 Smithville Church Rd
Warner Robins, GA 31088
Phone (478) 333-2333

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609977600000",
    "number": "1295340776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 SMITHVILLE CHURCH RD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310887802",
            "telephone_number": "478-333-2333",
            "fax_number": "478-285-4256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 SMITHVILLE CHURCH RD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310887802",
            "telephone_number": "478-333-2333",
            "fax_number": "478-285-4256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAYGROUND CHILDREN'S THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-11",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-333-2333"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.