Active NPI
Play Pals Therapy
- Speech-Language Assistant
- Davenport, FL
National Provider Identifier
1831577261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- SI 1981
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ramon Luis Morales
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 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 DirectoryLocations
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.
-
- Speech-Language Assistant
- Davenport, FL
- NPI 1376085464
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.