Organization Active NPI

Playful Progress LLC

  • Pediatric Physical Therapist
  • Jensen Beach, FL
National Provider Identifier
1366221038
Registry record updated Nov 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
Legal business name
PLAYFUL PROGRESS LLC
Practice address
1423 NE Chardon St
Jensen Beach, FL 34957-4004
Phone
(772) 342-5596
NPI assigned
Sep 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2023

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

Authorized official

Name
Patrick Joy, PTANPI 1326813932
Title
Ra / Owner
Phone
(772) 342-5596

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251P0200X Primary
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

1423 NE Chardon St
Jensen Beach, FL 34957-4004

Mailing address

1423 NE Chardon St
Jensen Beach, FL 34957-4004
Phone (772) 342-5596

National Provider Directory

National Provider Directory

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": "1695340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700870400000",
    "number": "1366221038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 NE CHARDON ST",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349574004",
            "telephone_number": "772-342-5596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 NE CHARDON ST",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349574004",
            "telephone_number": "772-342-5596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAYFUL PROGRESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-22",
        "last_updated": "2023-11-25",
        "certification_date": "2023-11-25",
        "status": "A",
        "authorized_official_last_name": "JOY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "RA / OWNER",
        "authorized_official_telephone_number": "772-342-5596",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jensen Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2023; 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.