Organization Active NPI

Playtime Pediatric Therapy Services, PLLC

  • Speech-Language Pathologist
  • Seymour, TN
National Provider Identifier
1669986592
Registry record updated Dec 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
PLAYTIME PEDIATRIC THERAPY SERVICES, PLLC
Practice address
11729 Chapman Hwy Ste C
Seymour, TN 37865-5181
Phone
(865) 773-0505
Fax
(865) 773-0439
NPI assigned
Nov 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2017

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

Authorized official

Name
Kimberly Rogers Williamson, M.S., CCC-SLP
Title
Speech Language Pathologist
Phone
(865) 773-0505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

11729 Chapman Hwy Ste C
Seymour, TN 37865-5181

Mailing address

11729 Chapman Hwy Ste C
Seymour, TN 37865-5181
Phone (865) 773-0505

National Provider Directory

National Provider Directory

Locations

11729 Chapman Hwy
Ste C
Seymour, TN 37865
Phone (865) 773-0505

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": "1512000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513123200000",
    "number": "1669986592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11729 CHAPMAN HWY STE C",
            "city": "SEYMOUR",
            "state": "TN",
            "postal_code": "378655181",
            "telephone_number": "865-773-0505",
            "fax_number": "865-773-0439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11729 CHAPMAN HWY STE C",
            "city": "SEYMOUR",
            "state": "TN",
            "postal_code": "378655181",
            "telephone_number": "865-773-0505",
            "fax_number": "865-773-0439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAYTIME PEDIATRIC THERAPY SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-30",
        "last_updated": "2017-12-13",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ROGERS",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "865-773-0505",
        "authorized_official_credential": "M.S., 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": []
}

Other providers in Seymour, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2017; 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.