Playful Minds Pediatric Therapy, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

PLAYFUL MINDS PEDIATRIC THERAPY, LLC

Practice address

11373 Oak Alley Dr S
Grand Bay, AL 36541-4489

Phone

(770) 362-6079

Fax

(251) 252-0367

NPI assigned

May 10, 2024

Organization subpart

No

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

Authorized official

Name

Kayla Nichols, OTR/LNPI 1164989497

Title

Ceo/ Occupational Therapist

Phone

(770) 362-6079

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kayla Elizabeth Nichols, OTR/L

  • Occupational Therapist
  • Daphne, AL
  • NPI 1164989497

  Single Specialty

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715299200000",
    "number": "1811745144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11373 OAK ALLEY DR S",
            "city": "GRAND BAY",
            "state": "AL",
            "postal_code": "365414489",
            "telephone_number": "770-362-6079",
            "fax_number": "251-252-0367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11373 OAK ALLEY DR S",
            "city": "GRAND BAY",
            "state": "AL",
            "postal_code": "365414489",
            "telephone_number": "770-362-6079",
            "fax_number": "251-252-0367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAYFUL MINDS PEDIATRIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-10",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "CEO/ OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "770-362-6079",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Lynn Kennedy, D.M.D.
• New Grand Bay Pharmacy, LLC
• William Christopher Patton, MD
• Alita M. Perry, R.PH.
• Shenavia Peyton
• Dantel Richardson
• Jessica Richardson
• Christina Roeder, PHARMD
• Deanna Walker Seaman, NP
• Taniya Smith, DO

• Occupational Therapist in Grand Bay, AL
• Providers in Grand Bay, AL by specialty
• Occupational Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.