NPIMap

Organization Active NPI

Pediplay LLC

  • Occupational Therapist
  • Indianapolis, IN
National Provider Identifier
1679695381
Registry record updated Aug 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
31001006 A Issued in IN
Legal business name
PEDIPLAY LLC
Practice address
6239 S East St
Suite a
Indianapolis, IN 46227-2090
Phone
(317) 791-9031
Fax
(317) 791-9001
NPI assigned
Apr 4, 2007
Last updated
Aug 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2013

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

Authorized official

Name
Ms. Barbara P Blain, OTRNPI 1588967715
Title
Owner
Phone
(317) 791-9031

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
Occupational Therapist 225X00000X 31001006 A IN Primary
Early Intervention Provider Agency 252Y00000X NU

Addresses

Primary practice location

6239 S East St
Suite a
Indianapolis, IN 46227-2090

Mailing address

6239 S East St
Suite a
Indianapolis, IN 46227-2090
Phone (317) 791-9031

Other identifiers 3

IdentifierTypeStateIssuer
201134240AMedicaidIN
200731390 AMedicaidIN
200731390AOtherINFIRST STEPS PROVIDER

National Provider Directory

National Provider Directory

Locations

1502 W Edgewood Ave
Indianapolis, IN 46217
Phone (317) 561-1888

6239 S East St
Ste A
Indianapolis, IN 46227
Phone (317) 791-9001

Practitioners & affiliated clinicians

Practitioners 87

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.

View all 87

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376870400000",
    "number": "1679695381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6239 S EAST ST",
            "address_2": "SUITE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462272090",
            "telephone_number": "317-791-9031",
            "fax_number": "317-791-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6239 S EAST ST",
            "address_2": "SUITE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462272090",
            "telephone_number": "317-791-9031",
            "fax_number": "317-791-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIPLAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2013-08-19",
        "status": "A",
        "authorized_official_last_name": "BLAIN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-791-9031",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31001006 A",
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201134240A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200731390 A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST STEPS PROVIDER",
            "identifier": "200731390A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; 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.