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
- Title
- Owner
- Phone
- (256) 727-2178
Corporate family (same tax ID) 1
Practitioners 20
-
Allison S Allcorn, M.A., CCC-SLP
-
Bailie Nichole Andrews, LPTA, OPTA
-
Ansley Corine Ayers, M.S., CCC-SLP
-
Hannah Christian Fabian, M.S CCC SLP
-
Hayley Griesser, CCC-SLP
-
Elizabeth Grace Headley, CCC-SLP
-
Jessica Lowry, MS CCC SLP
-
Cheryl Ann Potter, CCC/SLP
-
Kaitlin Roberts, OTR/L
-
Elizabeth Carole Romine, OTR/L
-
Kelsey Anne Smith, M.S., CCC-SLP
-
Savannah Grace Braman, OTD, OTR/L
-
Anne Buffkin, CCC-SLP
-
Ashley N Cooper, DPT
-
Julia Keenum, OTD
-
Anna Katherine Martin, OTD, OTR/L
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | |||
| Occupational Therapist |
225X00000X | |||
| Speech-Language Pathologist |
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
{
"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
- Donald Taylor
- Jacob Taylor
- Rebekah Taylor
- William Blake Tennant
- Rebecca Lynn Theis
- Therapy South Cullman LLC
- Bethany Thigpen
- Daniel Thigpen
- Third Day Anesthesia LLC
- Thomas a. Barnes, DMD, Dba Dental Arts
All providers in Cullman, AL · Speech-Language Pathologist in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.