Organization Active NPI

Play Time Therapeutics

  • Pediatric Occupational Therapist
  • Mission, TX
National Provider Identifier
1851679054
Registry record updated Jul 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
PLAY TIME THERAPEUTICS
Practice address
409 N Bryan Rd Ste 106
Mission, TX 78572-6293
Phone
(956) 600-7137
Fax
(956) 600-7139
NPI assigned
Jul 22, 2011
Last updated
Jul 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2011

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

Authorized official

Name
Betty M Kelley
Title
Administrator
Phone
(956) 648-0968

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

409 N Bryan Rd Ste 106
Mission, TX 78572-6293

Mailing address

409 N Bryan Rd Ste 106
Mission, TX 78572-6293
Phone (956) 600-7137

National Provider Directory

National Provider Directory

Locations

409 N Bryan Rd
Ste 106
Mission, TX 78572
Phone (956) 533-2722

NPI Registry JSON

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

{
    "created_epoch": "1311292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311292800000",
    "number": "1851679054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 N BRYAN RD STE 106",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726293",
            "telephone_number": "956-600-7137",
            "fax_number": "956-600-7139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 N BRYAN RD STE 106",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726293",
            "telephone_number": "956-600-7137",
            "fax_number": "956-600-7139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAY TIME THERAPEUTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-22",
        "last_updated": "2011-07-22",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-648-0968"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2011; 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.