Organization Active NPI

Play to Grow Pediatric Therapy PLLC

  • Occupational Therapist
  • Ridgefield, CT
National Provider Identifier
1336038876
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
PLAY TO GROW PEDIATRIC THERAPY PLLC
Practice address
412 Main St Ste F
Ridgefield, CT 06877-4532
Phone
(973) 897-7401
NPI assigned
Jun 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Authorized official

Name
Michelle DamelioNPI 1285341610
Title
Occupational Therapist
Phone
(973) 897-7401

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
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

412 Main St Ste F
Ridgefield, CT 06877-4532

Mailing address

5221 Avalon Dr E # 5221
New Canaan, CT 06840-5964

National Provider Directory

National Provider Directory

Locations

412 Main St
Ste F
Ridgefield, CT 06877
Phone (973) 897-7401

Practitioners & affiliated clinicians

Practitioners 1

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": "1751241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751241600000",
    "number": "1336038876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5221 AVALON DR E # 5221",
            "city": "NEW CANAAN",
            "state": "CT",
            "postal_code": "068405964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 MAIN ST STE F",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774532",
            "telephone_number": "973-897-7401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAY TO GROW PEDIATRIC THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-30",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A",
        "authorized_official_last_name": "DAMELIO",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "973-897-7401"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.