NPIMap

Organization Active NPI

Tampa Play Therapy, LLC

  • Occupational Therapist
  • New Port Richey, FL
National Provider Identifier
1396491536
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
TAMPA PLAY THERAPY, LLC
Practice address
1649 Davenport Dr
New Port Richey, FL 34655-4231
Phone
(727) 277-6812
Fax
(727) 375-1743
NPI assigned
Feb 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Authorized official

Name
Dr. Jenna Raber, OTD, OTR/LNPI 1346710563
Title
Owner
Phone
(727) 277-6812

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

1649 Davenport Dr
New Port Richey, FL 34655-4231

Mailing address

1649 Davenport Dr
New Port Richey, FL 34655-4231
Phone (727) 277-6812

Other identifiers 1

IdentifierTypeStateIssuer
114260500MedicaidFL

National Provider Directory

National Provider Directory

Locations

1649 Davenport Dr
New Port Richey, FL 34655
Phone (727) 277-6812

Practitioners & affiliated clinicians

Practitioners 3

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": "1645747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1396491536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1649 DAVENPORT DR",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346554231",
            "telephone_number": "727-277-6812",
            "fax_number": "727-375-1743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1649 DAVENPORT DR",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346554231",
            "telephone_number": "727-277-6812",
            "fax_number": "727-375-1743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA PLAY THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-25",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "RABER",
        "authorized_official_first_name": "JENNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-277-6812",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OTD, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114260500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.