Ican Play, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

52439 Issued in CO

Legal business name

ICAN PLAY, LLC

Practice address

3451 S Elm St
Denver, CO 80222-7314

Phone

19134390524

NPI assigned

Jun 27, 2017

Organization subpart

No

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

Authorized official

Name

Jennifer Riat, MA, CCC-SLPNPI 1174990410

Title

Speech-Language Pathologist/Co-Owne

Phone

(913) 439-0524

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• I Can Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Riat

  • Speech-Language Pathologist
  • Aurora, CO
  • NPI 1174990410
  NPD (past) Authorized official

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498521600000",
    "number": "1730609165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3451 S ELM ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802227314",
            "telephone_number": "19134390524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3451 S ELM ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802227314",
            "telephone_number": "19134390524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICAN PLAY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-27",
        "last_updated": "2017-06-27",
        "status": "A",
        "authorized_official_last_name": "RIAT",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST/CO-OWNE",
        "authorized_official_telephone_number": "913-439-0524",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "SLP.0001910",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CO",
            "license": "52439",
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "CO",
            "license": "52439",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO DEPARTMENT OF EDUCATION",
            "identifier": "52437",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "68209339",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "I Can",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "I Can",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Adam Ibrahim
• Alfaiyaz Ibrahim, D.D.S.
• Fatima Ibrahim II
• Hasabelrasol Eltayeb Ibrahim
• Nadeen Ibrahim, DDS
• Nicole Icard
• Wendy Ichire
• Pamela D Ichiyasu, R. D. H.
• Kristen Elizabeth Ickes, D.O.
• Becca Ickowicz

• Community/Behavioral Health Agency in Denver, CO
• Providers in Denver, CO by specialty
• Community/Behavioral Health Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.