Playhouse Therapy PA

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS00770500 Issued in NJ

Legal business name

PLAYHOUSE THERAPY PA

Practice address

118 Lowell Rd
Glen Rock, NJ 07452-1232

Phone

(917) 514-9259

NPI assigned

Jun 1, 2015

Last updated

Jun 2, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Julia Kogan, SLPNPI 1164835690

Title

Founder

Phone

(917) 514-9259

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Julia Kogan, SLP

  • Speech-Language Pathologist
  • Glen Rock, NJ
  • NPI 1164835690
  NPD (past) Authorized official

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433203200000",
    "number": "1407236896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 LOWELL RD",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074521232",
            "telephone_number": "917-514-9259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 LOWELL RD",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074521232",
            "telephone_number": "917-514-9259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAYHOUSE THERAPY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-01",
        "last_updated": "2015-06-02",
        "status": "A",
        "authorized_official_last_name": "KOGAN",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "917-514-9259",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00770500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Philip J. Aretsky, MD PA
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• Phillip John Polentarutti, DPT
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• Speech-Language Pathologist in Glen Rock, NJ
• Providers in Glen Rock, NJ by specialty
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2015; 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.