Play for Life Therapy LLC

Primary specialty

Pediatric Rehabilitation Medicine PhysicianTaxonomy code 2081P0010X

Legal business name

PLAY FOR LIFE THERAPY LLC

Practice address

400 W Midland Ave
Woodland Park, CO 80863-3196

Phone

(662) 832-8017

NPI assigned

Mar 29, 2021

Organization subpart

No

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

Authorized official

Name

Staci Harrell, MOTR/L

Title

Occupational Therapist

Phone

(662) 832-8017

Specialties & licenses 3

Addresses

Other identifiers 1

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1851978340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 ASPEN CIR",
            "city": "DIVIDE",
            "state": "CO",
            "postal_code": "808149611",
            "telephone_number": "662-832-8017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W MIDLAND AVE",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808633196",
            "telephone_number": "662-832-8017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAY FOR LIFE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-29",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A",
        "authorized_official_last_name": "HARRELL",
        "authorized_official_first_name": "STACI",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "662-832-8017",
        "authorized_official_credential": "MOTR/L"
    },
    "taxonomies": [
        {
            "code": "2081P0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06787256",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Tammy Marie Pitt, MA, LMFT
• Play for Life Therapy LLC
• Poudre Valley Medical Group, LLC
• Poudre Valley Medical Group, LLC
• Poudre Valley Medical Group, LLC
• Powell Chiropractic Inc.
• David Keith Powell, D.C.

• Pediatric Rehabilitation Medicine Physician in Woodland Park, CO
• Providers in Woodland Park, CO by specialty
• Pediatric Rehabilitation Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.