Child'S Play Pediatric Therapy, LLC

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

04081 Issued in LA

Legal business name

CHILD'S PLAY PEDIATRIC THERAPY, LLC

Practice address

1713 Ridgefield Rd Ste C
Thibodaux, LA 70301-4399

Phone

(985) 228-0726

Fax

(985) 449-0944

NPI assigned

Dec 26, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Michele Rogers Bower, MPTNPI 1912060963

Title

Owner, PT

Phone

(985) 228-0726

Specialties & licenses 1

Addresses

Other names 1

• The Center for Pediatric Therapy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michele Rogers Bower, PT

  • Pediatric Physical Therapist
  • Thibodaux, LA
  • NPI 1912060963

  Pediatrics

  NPD (past) Authorized official

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508921065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 COUNTRY CLUB BLVD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703013783",
            "telephone_number": "985-228-0726",
            "fax_number": "985-449-0945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 RIDGEFIELD RD STE C",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014399",
            "telephone_number": "985-228-0726",
            "fax_number": "985-449-0944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD'S PLAY PEDIATRIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOWER",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "ROGERS",
        "authorized_official_title_or_position": "OWNER, PT",
        "authorized_official_telephone_number": "985-228-0726",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "LA",
            "license": "04081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Center for Pediatric Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Desirae Chiasson, MA
• Jessica Ann Chiasson, PT
• Morgan Chiasson
• Shane M Chiasson
• Zachary Burr Chiasson, BA (PSYCHOLOGY)
• Childrens Vision Center
• Naomi M Chouest, APRN, FNP-C
• Jade Cisneros, PLPC
• Annemarie B Clancy, MA CCCSLP
• Raven Clark, BA

• Pediatric Physical Therapist in Thibodaux, LA
• Providers in Thibodaux, LA by specialty
• Pediatric Physical Therapist in Louisiana

• 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.