Interactive Playground & Wellness Center

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

INTERACTIVE PLAYGROUND & WELLNESS CENTER

Practice address

20 Gibson PL Ste 301
Freehold, NJ 07728-4837

Phone

(732) 761-1212

Fax

(732) 761-1216

NPI assigned

May 15, 2008

Organization subpart

No

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

Authorized official

Name

Jennifer Daly, OTR/L

Title

Occuspational Therapist/Director

Phone

(732) 761-1212

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1861669087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 GIBSON PL STE 301",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077284837",
            "telephone_number": "732-761-1212",
            "fax_number": "732-761-1216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 GIBSON PL STE 301",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077284837",
            "telephone_number": "732-761-1212",
            "fax_number": "732-761-1216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERACTIVE PLAYGROUND & WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "DALY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OCCUSPATIONAL THERAPIST/DIRECTOR",
        "authorized_official_telephone_number": "732-761-1212",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.