Pediatric Therapy Playground

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

PEDIATRIC THERAPY PLAYGROUND

Practice address

1631 Vista de Colinas Dr SE
Rio Rancho, NM 87124-3070

Phone

(910) 484-1711

Fax

(919) 869-1685

NPI assigned

Apr 21, 2016

Last updated

Apr 21, 2016By 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

Roberto Diosdado

Title

Ceo

Phone

(910) 484-1711

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461196800000",
    "number": "1316391840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3649 CAPE CENTER DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 VISTA DE COLINAS DR SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871243070",
            "telephone_number": "910-484-1711",
            "fax_number": "919-869-1685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC THERAPY PLAYGROUND",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-21",
        "last_updated": "2016-04-21",
        "status": "A",
        "authorized_official_last_name": "DIOSDADO",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-484-1711"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pearly Whites Dental Office, Inc.
• Allison Marie Pearson, MS, CCC-SLP
• Pedersen Wellness and Rejuvenation
• Eric Pedersen, PA-C
• Kelly Pedersen, LMHC
• Pamela Pedraza, LMSW
• Ahmahn M Peeples, CPO/LPO, ACSM CPT
• Lonnie L Peets, DC
• Patricia Pell
• Linda Pena

• Behavior Analyst in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Behavior Analyst in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.