Organization Active NPI

Child'S Play Therapy Services, Inc.

  • Occupational Therapist
  • Bella Vista, AR
National Provider Identifier
1396960829
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1669 Issued in AR
Legal business name
CHILD'S PLAY THERAPY SERVICES, INC.
Practice address
19 Billingsley Dr
Bella Vista, AR 72714-5542
Phone
(479) 220-0756
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gloria Pense, OTNPI 1245453505
Title
President
Phone
(479) 220-0756

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 1669 AR Primary

Addresses

Primary practice location

19 Billingsley Dr
Bella Vista, AR 72714-5542

Mailing address

19 Billingsley Dr
Bella Vista, AR 72714-5542
Phone (479) 220-0756

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": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396960829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 BILLINGSLEY DR",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727145542",
            "telephone_number": "479-220-0756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 BILLINGSLEY DR",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727145542",
            "telephone_number": "479-220-0756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD'S PLAY THERAPY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PENSE",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-220-0756",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "1669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bella Vista, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.