Organization Active NPI

Theraplay la

  • Occupational Medicine Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1487235248
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
Legal business name
THERAPLAY LA
Practice address
1070 S la Brea Ave
Los Angeles, CA 90019-6905
Phone
(310) 630-9084
Fax
(424) 442-0298
NPI assigned
Apr 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Authorized official

Name
Dr. Marielly Mitchell, DOCTOR OF OTNPI 1700161015
Title
Founder
Phone
(310) 630-9084

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
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X
Occupational Medicine Clinic/Center 261QX0100X Primary

Addresses

Primary practice location

1070 S la Brea Ave
Los Angeles, CA 90019-6905

Mailing address

1070 S la Brea Ave
Los Angeles, CA 90019-6905
Phone (310) 630-9084

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": "1618358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618358400000",
    "number": "1487235248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 S LA BREA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900196905",
            "telephone_number": "310-630-9084",
            "fax_number": "424-442-0298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 S LA BREA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900196905",
            "telephone_number": "310-630-9084",
            "fax_number": "424-442-0298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPLAY LA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-14",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-13",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "MARIELLY",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "310-630-9084",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DOCTOR OF OT"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; 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.