NPIMap

Organization Active NPI

Playful Learning Pediatric Therapy, LLC

  • Pediatric Occupational Therapist
  • Eagle River, AK
National Provider Identifier
1407129745
Registry record updated Feb 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
2045 Issued in AK
Legal business name
PLAYFUL LEARNING PEDIATRIC THERAPY, LLC
Practice address
12812 Old Glenn Hwy Ste A4
Eagle River, AK 99577-7003
Phone
(907) 317-9349
NPI assigned
Feb 16, 2012
Last updated
Feb 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2012

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

Authorized official

Name
Mrs. Tiffany Johnston, OTR/L
Title
Owner
Phone
(907) 317-9349

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 2045 AK Primary

Addresses

Primary practice location

12812 Old Glenn Hwy Ste A4
Eagle River, AK 99577-7003

Mailing address

12110 Business Blvd Ste A413
Eagle River, AK 99577-7725
Phone (907) 317-9349

National Provider Directory

National Provider Directory

Locations

12110 Business Blvd
Ste A413
Eagle River, AK 99577

12228 Lake St
Eagle River, AK 99577
Phone (907) 317-9349

12812 Old Glenn Hwy
Ste A4
Eagle River, AK 99577
Phone (907) 317-9349

1901 N Hemmer Rd
Ste 109
Palmer, AK 99645
Phone (907) 317-5895

613 S Knik Goose Bay Rd
Ste E
Wasilla, AK 99654
Phone (907) 317-5895

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1329350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329350400000",
    "number": "1407129745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12110 BUSINESS BLVD STE A413",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777725",
            "telephone_number": "907-317-9349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12812 OLD GLENN HWY STE A4",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777003",
            "telephone_number": "907-317-9349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAYFUL LEARNING PEDIATRIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-16",
        "last_updated": "2012-02-16",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-317-9349",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AK",
            "license": "2045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle River, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; 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.