Organization Active NPI

Mind, Body & Play Therapies, LLC

  • Pediatric Physical Therapist
  • Castle Rock, CO
National Provider Identifier
1679697569
Registry record updated Mar 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
PT 6427 Issued in CO
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

Updated by the provider on Mar 5, 2015

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

Authorized official

Name
Sarita N Parikh, MSPTNPI 1134243025
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)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
12456535MedicaidCO

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.

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.

Verify at the official NPI Registry.