Organization Active NPI

Power Play OT

Doing business as Power Play Kids

  • Early Intervention Provider Agency
  • Long Beach, CA
National Provider Identifier
1588434997
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
POWER PLAY OT
Doing business as
Power Play Kids
Practice address
1404 E 1St St Apt 6
Long Beach, CA 90802-8208
Phone
(562) 507-1568
NPI assigned
Jan 5, 2024
Last updated
Jan 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Authorized official

Name
Lydia BurdNPI 1295251155
Title
Ceo
Phone
(917) 941-4322

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

1404 E 1St St Apt 6
Long Beach, CA 90802-8208

Mailing address

1404 E 1St St Apt 6
Long Beach, CA 90802-8208

Other names 1

  • Power Play Kids Doing business as

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, 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": "1704412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1588434997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 E 1ST ST APT 6",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908028208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 E 1ST ST APT 6",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908028208",
            "telephone_number": "562-507-1568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWER PLAY OT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-05",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "BURD",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-941-4322"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Power Play Kids",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.