Organization Active NPI

Play Pals Therapy

  • Speech-Language Assistant
  • Davenport, FL
National Provider Identifier
1831577261
Registry record updated May 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
SI 1981 Issued in FL
Legal business name
PLAY PALS THERAPY
Practice address
111 La Mirage St
Davenport, FL 33897-6906
Phone
(407) 668-8693
NPI assigned
May 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2015

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

Authorized official

Name
Mr. Ramon Luis MoralesNPI 1376085464
Title
Owner
Phone
(407) 668-8693

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 2355S0801X SI 1981 FL Primary

Addresses

Primary practice location

111 La Mirage St
Davenport, FL 33897-6906

Mailing address

111 La Mirage St
Davenport, FL 33897-6906

National Provider Directory

National Provider Directory

Locations

1428 Sunrise Plaza Dr
Ste 2
Clermont, FL 34714

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431907200000",
    "number": "1831577261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 LA MIRAGE ST",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338976906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 LA MIRAGE ST",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338976906",
            "telephone_number": "407-668-8693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAY PALS THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-18",
        "last_updated": "2015-05-18",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "RAMON",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-668-8693",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": "SI 1981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2015; 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.