Active NPI
Well Played Pediatric Therapy LLC
- Pediatric Physical Therapist
- Huntersville, NC
National Provider Identifier
1730832643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- Legal business name
- WELL PLAYED PEDIATRIC THERAPY LLC
- Practice address
- 13119 Meadowmere Rd
Huntersville, NC 28078-2246 - Phone
- (724) 261-1713
- NPI assigned
- Jan 31, 2022
- Last updated
- Feb 22, 2022
- 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
- Sydney Blankenship, DPT
- Title
- Owner Manager
- Phone
- (724) 261-1713
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | Primary | ||
| Early Intervention Provider Agency | 252Y00000X | |||
| Physical Therapy Clinic/Center | 261QP2000X |
Addresses
Primary practice location
13119 Meadowmere Rd
Huntersville, NC 28078-2246
Mailing address
13119 Meadowmere Rd
Huntersville, NC 28078-2246
Phone (724) 261-1713
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922501840 | Medicaid | NC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | wellplayedpt.com |
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, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643587200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1645488000000",
"number": "1730832643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13119 MEADOWMERE RD",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280782246",
"telephone_number": "724-261-1713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13119 MEADOWMERE RD",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280782246",
"telephone_number": "724-261-1713"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELL PLAYED PEDIATRIC THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-31",
"last_updated": "2022-02-22",
"certification_date": "2022-02-22",
"status": "A",
"authorized_official_last_name": "BLANKENSHIP",
"authorized_official_first_name": "SYDNEY",
"authorized_official_title_or_position": "OWNER MANAGER",
"authorized_official_telephone_number": "724-261-1713",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Pediatrics",
"state": null,
"license": null,
"primary": true
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1922501840",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "wellplayedpt.com",
"affiliation": "N",
"address_1": "13119 Meadowmere Rd",
"city": "Huntersville",
"state": "NC",
"country_code": "US",
"postal_code": "280782246",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Huntersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.