Active NPI
Sensiplay Pediatric Therapy
- Pediatric Occupational Therapist
- Vidalia, GA
National Provider Identifier
1679196117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- Legal business name
- SENSIPLAY PEDIATRIC THERAPY
- Practice address
- 206 Queen St Ste 10
Vidalia, GA 30474-4263 - Phone
- (912) 537-3066
- NPI assigned
- May 19, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Latoya Harvey, OTD, OTR/L
- Title
- Agent/Manager
- Phone
- (478) 484-0049
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | Primary |
Addresses
Primary practice location
206 Queen St Ste 10
Vidalia, GA 30474-4263
Mailing address
PO Box 2145
Vidalia, GA 30475-2145
Phone (912) 537-3066
Other practice location 1
1121 Debbie Ln Unit 633
Arlington, TX 76002-5084
Phone (478) 484-0049
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003233426B | Medicaid | GA | |
| 003173099C | Medicaid | GA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.sensipeds.com | Other |
National Provider Directory
National Provider DirectoryLocations
206 Queen St
Ste 10
Vidalia, GA 30474
Phone (912) 537-3066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589846400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681516800000",
"number": "1679196117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2145",
"city": "VIDALIA",
"state": "GA",
"postal_code": "304752145",
"telephone_number": "912-537-3066",
"fax_number": "912-538-9812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 QUEEN ST STE 10",
"city": "VIDALIA",
"state": "GA",
"postal_code": "304744263",
"telephone_number": "912-537-3066"
}
],
"practiceLocations": [
{
"address_1": "1121 Debbie Ln Unit 633",
"address_purpose": "LOCATION",
"city": "Arlington",
"state": "TX",
"postal_code": "760025084",
"country_code": "US",
"telephone_number": "478-484-0049",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SENSIPLAY PEDIATRIC THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-19",
"last_updated": "2023-04-15",
"certification_date": "2023-04-15",
"status": "A",
"authorized_official_last_name": "HARVEY",
"authorized_official_first_name": "LATOYA",
"authorized_official_title_or_position": "AGENT/MANAGER",
"authorized_official_telephone_number": "478-484-0049",
"authorized_official_credential": "OTD, OTR/L"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003233426B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003173099C",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.sensipeds.com",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "other",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "other",
"address_1": "206 Queen St Ste 10",
"city": "Vidalia",
"state": "GA",
"country_code": "US",
"postal_code": "304744263",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Vidalia, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.