Play Well Therapy Services Inc

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

PLAY WELL THERAPY SERVICES INC

Practice address

9016 W 22ND PL
Riverside, IL 60546-1021

Phone

(708) 257-3472

Fax

(888) 965-6037

NPI assigned

Jun 1, 2017

Organization subpart

No

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

Authorized official

Name

Nancy M RoudebushNPI 1972945558

Title

Developmental Therapist

Phone

(708) 257-3472

Specialties & licenses 1

Addresses

Practitioners 1

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

• Nancy M Roudebush, DT

  • Developmental Therapist
  • North Riverside, IL
  • NPI 1972945558
  NPD (past) Authorized official

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1770011900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9016 W 22ND PL",
            "city": "RIVERSIDE",
            "state": "IL",
            "postal_code": "605461021",
            "telephone_number": "708-257-3472",
            "fax_number": "888-965-6037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9016 W 22ND PL",
            "city": "RIVERSIDE",
            "state": "IL",
            "postal_code": "605461021",
            "telephone_number": "708-257-3472",
            "fax_number": "888-965-6037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAY WELL THERAPY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ROUDEBUSH",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DEVELOPMENTAL THERAPIST",
        "authorized_official_telephone_number": "708-257-3472"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orthomidwest, PLLC
• Orthopaedic Associates of Riverside, PLLC
• Colathur K Palani, M.D.
• Paul McArthur Pedersen, LSW
• Alexandria Perry, PT, DPT
• Garey Potamianos, D.D.S.
• Premier Internal Medicine Group SC
• Themistocles Raftis, PT
• Narges Sedighen Razavizadeh, MD
• Karam Rehan, MD

• Early Intervention Provider Agency in Riverside, IL
• Providers in Riverside, IL by specialty
• Early Intervention Provider Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.