Organization Active NPI

Child's Play Pediatric Therapy, Inc.

  • Specialist
  • Colleyville, TX
National Provider Identifier
1871783431
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
110953 Issued in TX
Legal business name
CHILD'S PLAY PEDIATRIC THERAPY, INC.
Practice address
4113 Gateway Dr
Ste 200
Colleyville, TX 76034-5943
Phone
(817) 508-8737
Fax
(817) 508-5735
NPI assigned
Jul 30, 2007
Last updated
Oct 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2012

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

Authorized official

Name
Carla J Hamilton, OTR-LNPI 1245364561
Title
Owner
Phone
(817) 508-8737

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
Specialist 174400000X 110953 TX Primary

Addresses

Primary practice location

4113 Gateway Dr
Ste 200
Colleyville, TX 76034-5943

Mailing address

PO Box 2023
Denton, TX 76202-2023
Phone (940) 384-6200

Other identifiers 1

IdentifierTypeStateIssuer
0032PQOtherTXBCBS

National Provider Directory

National Provider Directory

Locations

2909 Highway 121
Bedford, TX 76021
Phone (817) 793-7764

4113 Gateway Dr
Ste 200
Colleyville, TX 76034
Phone (817) 508-8737

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349913600000",
    "number": "1871783431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2023",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762022023",
            "telephone_number": "940-384-6200",
            "fax_number": "940-382-7680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4113 GATEWAY DR",
            "address_2": "STE 200",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760345943",
            "telephone_number": "817-508-8737",
            "fax_number": "817-508-5735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD'S PLAY PEDIATRIC THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2012-10-11",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-508-8737",
        "authorized_official_credential": "OTR-L"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "110953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0032PQ",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colleyville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; 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.