Active NPI
Mind, Body & Play Therapies, LLC
- Pediatric Physical Therapist
- Castle Rock, CO
National Provider Identifier
1679697569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- PT 6427
- Legal business name
- MIND, BODY & PLAY THERAPIES, LLC
- Practice address
- 466 Black Feather Loop
#520
Castle Rock, CO 80104-8008 - Phone
- (303) 981-4470
- Fax
- (303) 223-7608
- NPI assigned
- Mar 18, 2007
- 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
- Sarita N Parikh, MSPT
- Title
- Owner
- Phone
- (303) 981-4470
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | PT 6427 | CO | Primary |
Addresses
Primary practice location
466 Black Feather Loop
#520
Castle Rock, CO 80104-8008
Mailing address
466 Black Feather Loop
#520
Castle Rock, CO 80104-8008
Phone (303) 981-4470
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12456535 | Medicaid | CO |
National Provider Directory
National Provider DirectoryPractitioners & 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": "1174176000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1425513600000",
"number": "1679697569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "466 BLACK FEATHER LOOP",
"address_2": "#520",
"city": "CASTLE ROCK",
"state": "CO",
"postal_code": "801048008",
"telephone_number": "303-981-4470",
"fax_number": "303-223-7608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "466 BLACK FEATHER LOOP",
"address_2": "#520",
"city": "CASTLE ROCK",
"state": "CO",
"postal_code": "801048008",
"telephone_number": "303-981-4470",
"fax_number": "303-223-7608"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIND, BODY & PLAY THERAPIES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-18",
"last_updated": "2015-03-05",
"status": "A",
"authorized_official_last_name": "PARIKH",
"authorized_official_first_name": "SARITA",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "303-981-4470",
"authorized_official_credential": "MSPT"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Pediatrics",
"state": "CO",
"license": "PT 6427",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "12456535",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Castle Rock, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.