Organization Active NPI

Playtime Pediatric Occupational Therapy

  • Early Intervention Provider Agency
  • Pembroke, KY
National Provider Identifier
1811238629
Registry record updated Mar 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
R4363 Issued in KY
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

Updated by the provider on Mar 5, 2013

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)CodeLicenseStatePrimary
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 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": "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

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.

Verify at the official NPI Registry.