Active NPI
Playtime Pediatric Occupational Therapy
- Early Intervention Provider Agency
- Pembroke, KY
National Provider Identifier
1811238629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- License
- R4363
- Legal business name
- PLAYTIME PEDIATRIC OCCUPATIONAL THERAPY
- Practice address
- 1155 Mason LN
Pembroke, KY 42266-8620 - Phone
- (270) 475-7003
- Fax
- (270) 475-7003
- NPI assigned
- Mar 5, 2013
- 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
- Jennifer Lynn Arvin, MOTR/L
- Title
- Occupational Therapist/Owner
- Phone
- (270) 475-7003
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | R4363 | KY | Primary |
Addresses
Primary practice location
1155 Mason LN
Pembroke, KY 42266-8620
Mailing address
1155 Mason LN
Pembroke, KY 42266-8620
Phone (270) 475-7003
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, and the practitioner matching its NPPES authorized official.
-
- Occupational Therapist
- Fort Campbell, KY
- NPI 1437315793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362441600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1362441600000",
"number": "1811238629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1155 MASON LN",
"city": "PEMBROKE",
"state": "KY",
"postal_code": "422668620",
"telephone_number": "270-475-7003",
"fax_number": "270-475-7003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 MASON LN",
"city": "PEMBROKE",
"state": "KY",
"postal_code": "422668620",
"telephone_number": "270-475-7003",
"fax_number": "270-475-7003"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLAYTIME PEDIATRIC OCCUPATIONAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-05",
"last_updated": "2013-03-05",
"status": "A",
"authorized_official_last_name": "ARVIN",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "OCCUPATIONAL THERAPIST/OWNER",
"authorized_official_telephone_number": "270-475-7003",
"authorized_official_credential": "MOTR/L"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "KY",
"license": "R4363",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke, KY
- Janet L Moore, COTAL
- Shelley Hill Payne, M.S., CCC-SLP
- Pembroke Elementary School
- Pembroke Health Facilities LP (Christian Heights Nursing and Rehabilitation Center)
- Pembroke Operating Company LLC (Christian Heights Nursing and Rehabilitation Center)
- Pro Step Rehab
- Jolene Carol Schmucker
- Amy Regina Steele, OTR
- Leslie Dawn Vass
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.