Play Adventures Pediatric Therapy LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

PLAY ADVENTURES PEDIATRIC THERAPY LLC

Practice address

807 Park Ave
Lewiston, ID 83501-4814

Phone

(208) 305-7076

NPI assigned

Sep 2, 2022

Organization subpart

No

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

Authorized official

Name

Jenna A Messick, CCC-SLPNPI 1679293674

Title

(Speech Therapist) Owner/Parter

Phone

(208) 305-7076

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jenna Andreas Rashell Messick, MS., CCC-SLP

  • Speech-Language Pathologist
  • Lewiston, ID
  • NPI 1679293674
  NPD Authorized official

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

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1568182020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 PARK AVE",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835014814",
            "telephone_number": "208-305-7076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 PARK AVE",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835014814",
            "telephone_number": "208-305-7076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAY ADVENTURES PEDIATRIC THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-02",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "MESSICK",
        "authorized_official_first_name": "JENNA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "(SPEECH THERAPIST) OWNER/PARTER",
        "authorized_official_telephone_number": "208-305-7076",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phoenix Radiology, PLLC
• Anthony Robert Picchena, LCSW
• Sennett Ames Pierce Sr, D.O.
• James E Pierce, DDS
• Pinecrest Academy of Lewiston Inc.
• Brian Pope, LCSW
• Andre Popich
• Charles Pottenger, PHARMD
• Alicia Flynne Powell, MSW
• Prairie Home Care LLC

• Speech-Language Pathologist in Lewiston, ID
• Providers in Lewiston, ID by specialty
• Speech-Language Pathologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.