Organization Active NPI

Theraplay @ Home

  • Occupational Therapist
  • Apopka, FL
National Provider Identifier
1811190283
Registry record updated May 6, 2014
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Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
THERAPLAY @ HOME
Practice address
1335 Longhill Dr
Apopka, FL 32712-2430
Phone
(407) 284-0371
Fax
(321) 256-2313
NPI assigned
Jun 6, 2007
Last updated
May 6, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2014

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

Authorized official

Name
Ms. Kristine Karban Dickinson, M.S., OTR/L
Title
Director of Therapy
Phone
(407) 284-0371

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Primary
Occupational Therapist 225X00000X OT4485 FL

Addresses

Primary practice location

1335 Longhill Dr
Apopka, FL 32712-2430

Mailing address

914 S Hillside St
Wichita, KS 67211-4001
Phone (407) 284-0371

Other identifiers 1

IdentifierTypeStateIssuer
888091300MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & 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": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399334400000",
    "number": "1811190283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 S HILLSIDE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672114001",
            "telephone_number": "407-284-0371",
            "fax_number": "407-233-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 LONGHILL DR",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327122430",
            "telephone_number": "407-284-0371",
            "fax_number": "321-256-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPLAY @ HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2014-05-06",
        "status": "A",
        "authorized_official_last_name": "DICKINSON",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_middle_name": "KARBAN",
        "authorized_official_title_or_position": "DIRECTOR OF THERAPY",
        "authorized_official_telephone_number": "407-284-0371",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S., OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT4485",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "888091300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Apopka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; 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.