Theraplay Pediatric Sensory Gym

Organization Active NPI Speech-Language Pathologist · Cullman, AL

NPI 1770068264 · NPPES record last updated Apr 2, 2025

Key facts

NPI
1770068264
Entity type
Organization (NPI type 2)
Primary specialty
Speech-Language Pathologist 235Z00000X
Legal business name
THERAPLAY PEDIATRIC SENSORY GYM
Practice address
1637 Main Ave SW
Cullman, AL 35055-5230
Phone
(256) 841-5185
Fax
(256) 841-5186
NPI assigned
Oct 1, 2018
Organization subpart
No

Authorized official

Name
Janelle Britt NPI 1548745029
Title
Owner
Phone
(256) 727-2178

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 20

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20190123004216 AL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1153668512 Receives reassigned benefits from 1 practitioner
Practice locations: Cullman, AL

National Provider Directory

Tax ID family
Theraplay Pediatric Sensory Gym (2 organizations share this tax ID)

Locations

1637 Main Ave SW
Cullman, AL 35055
Phone (256) 841-5185

1640 2nd Ave SW
Cullman, AL 35055
Phone (256) 727-2178

651 Main St
Ste 147
Gardendale, AL 35071
Phone (659) 246-5051

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
225100000X
Occupational Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
225X00000X
Speech-Language Pathologist
Group: 193200000X MULTI-SPECIALTY GROUP
235Z00000X Yes

Addresses

Primary practice location

1637 Main Ave SW
Cullman, AL 35055-5230

Mailing address

1637 Main Ave SW
Cullman, AL 35055-5230
Phone (256) 841-5185

Other practice location 1

651 Main St Ste 147
Gardendale, AL 35071-2790
Phone (659) 246-5150

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 2, 2025.

{
    "created_epoch": "1538352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1770068264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1637 MAIN AVE SW",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350555230",
            "telephone_number": "256-841-5185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1637 MAIN AVE SW",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350555230",
            "telephone_number": "256-841-5185",
            "fax_number": "256-841-5186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "651 Main St Ste 147",
            "address_purpose": "LOCATION",
            "city": "Gardendale",
            "state": "AL",
            "postal_code": "350712790",
            "country_code": "US",
            "telephone_number": "659-246-5150",
            "fax_number": "205-708-5044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THERAPLAY PEDIATRIC SENSORY GYM",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-01",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "BRITT",
        "authorized_official_first_name": "JANELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-727-2178"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

All providers in Cullman, AL · Speech-Language Pathologist in Alabama

Sources for this page

Verify at the official NPI Registry.