NPIMap

Organization Active NPI

Therapy Playground, Inc

  • Physical Therapy Clinic/Center
  • Spring Lake, NC
National Provider Identifier
1528552007
Registry record updated Jun 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
THERAPY PLAYGROUND, INC
Practice address
103 Sleepy Dr Ste Ghi
Spring Lake, NC 28390-3324
Phone
(910) 423-5622
Fax
(910) 378-1755
NPI assigned
Jun 19, 2018
Organization subpart
Yes
Parent organization
THERAPY PLAYGROUND, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 19, 2018

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

Authorized official

Name
Jennifer L Rosenthal-Dibb, MC CCC-SLPNPI 1225019094
Title
President
Phone
(910) 423-5622

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
Hearing and Speech Clinic/Center 261QH0700X
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

103 Sleepy Dr Ste Ghi
Spring Lake, NC 28390-3324

Mailing address

4602 Cumberland Rd
Fayetteville, NC 28306-2412
Phone (910) 423-5622

Other identifiers 1

IdentifierTypeStateIssuer
146MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Therapy Playground3 organizations share this tax ID, including this one
Part of
Therapy Playground

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1555 Cain Rd
Fayetteville, NC 28303
Phone (910) 423-5622

103 Sleepy Dr
Ste Ghi
Spring Lake, NC 28390
Phone (910) 423-5622

103 Sleepy Dr
Ste G
Spring Lake, NC 28390
Phone (910) 423-5622

Practitioners & affiliated clinicians

Practitioners 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529366400000",
    "number": "1528552007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4602 CUMBERLAND RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283062412",
            "telephone_number": "910-423-5622",
            "fax_number": "910-378-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 SLEEPY DR STE GHI",
            "city": "SPRING LAKE",
            "state": "NC",
            "postal_code": "283903324",
            "telephone_number": "910-423-5622",
            "fax_number": "910-378-1755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY PLAYGROUND, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THERAPY PLAYGROUND, INC",
        "enumeration_date": "2018-06-19",
        "last_updated": "2018-06-19",
        "status": "A",
        "authorized_official_last_name": "ROSENTHAL-DIBB",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-423-5622",
        "authorized_official_credential": "MC CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Lake, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.