Active NPI
Kids Play Therapy LLC
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Goshen, NY
National Provider Identifier
1770732158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- License
- 008688-1
- Legal business name
- KIDS PLAY THERAPY LLC
- Practice address
- 209 Murray Ave
Goshen, NY 10924-1205 - Phone
- (917) 822-6461
- NPI assigned
- Sep 10, 2008
- 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
- Xeriss Joanah Santa Ana, OTR/L
- Title
- Occupational Therapist
- Phone
- (917) 822-6461
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 008688-1 | NY | Primary |
Addresses
Primary practice location
209 Murray Ave
Goshen, NY 10924-1205
Mailing address
209 Murray Ave
Goshen, NY 10924-1205
Phone (917) 822-6461
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.
-
- Feeding, Eating & Swallowing Occupational Therapist
- Goshen, NY
- NPI 1598239014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221004800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1221004800000",
"number": "1770732158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 MURRAY AVE",
"city": "GOSHEN",
"state": "NY",
"postal_code": "109241205",
"telephone_number": "917-822-6461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 MURRAY AVE",
"city": "GOSHEN",
"state": "NY",
"postal_code": "109241205",
"telephone_number": "917-822-6461"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIDS PLAY THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-10",
"last_updated": "2008-09-10",
"status": "A",
"authorized_official_last_name": "SANTA ANA",
"authorized_official_first_name": "XERISS",
"authorized_official_middle_name": "JOANAH",
"authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
"authorized_official_telephone_number": "917-822-6461",
"authorized_official_credential": "OTR/L"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NY",
"license": "008688-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goshen, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.