NPIMap

Organization Active NPI

Playworks Pediatric Therapy and Play Gym, LLC

  • Physical Therapist
  • Farmington, AR
National Provider Identifier
1467956557
Registry record updated Mar 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT2778 Issued in AR
Legal business name
PLAYWORKS PEDIATRIC THERAPY AND PLAY GYM, LLC
Practice address
128 Southwinds Rd Ste 7
Farmington, AR 72730-8652
Phone
(479) 267-2777
NPI assigned
Mar 22, 2018
Last updated
Mar 22, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2018

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

Authorized official

Name
Janet Leanne Cobb, PTNPI 1235564600
Title
Physical Therapist/Member
Phone
(479) 267-2777

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
Physical Therapist 225100000X PT2778 AR Primary
Occupational Therapist 225X00000X OTR2016 NU

Addresses

Primary practice location

128 Southwinds Rd Ste 7
Farmington, AR 72730-8652

Mailing address

128 Southwinds Rd Ste 7
Farmington, AR 72730-8652
Phone (479) 267-2777

Other identifiers 2

IdentifierTypeStateIssuer
163187721MedicaidAR
157390721MedicaidAR

National Provider Directory

National Provider Directory

Locations

128 Southwinds Rd
Ste 7
Farmington, AR 72730
Phone (479) 267-2777

Practitioners & affiliated clinicians

Practitioners 7

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": "1521676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521676800000",
    "number": "1467956557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 SOUTHWINDS RD STE 7",
            "city": "FARMINGTON",
            "state": "AR",
            "postal_code": "727308652",
            "telephone_number": "479-267-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 SOUTHWINDS RD STE 7",
            "city": "FARMINGTON",
            "state": "AR",
            "postal_code": "727308652",
            "telephone_number": "479-267-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAYWORKS PEDIATRIC THERAPY AND PLAY GYM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-22",
        "last_updated": "2018-03-22",
        "status": "A",
        "authorized_official_last_name": "COBB",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "LEANNE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/MEMBER",
        "authorized_official_telephone_number": "479-267-2777",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT2778",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": "OTR2016",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163187721",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157390721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; 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.