Play 2 Grow Therapy

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

License

KM61620612P Issued in IL

Legal business name

PLAY 2 GROW THERAPY

Practice address

314 East Country Drive
Bartlett, IL 60103-8912

Phone

(630) 973-3152

NPI assigned

Feb 15, 2016

Organization subpart

No

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

Authorized official

Name

Kathleen Marino

Title

President

Phone

(630) 973-3152

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1881053122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 EAST COUNTRY DRIVE",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601038912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 EAST COUNTRY DRIVE",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601038912",
            "telephone_number": "630-973-3152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAY 2 GROW THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-15",
        "last_updated": "2016-02-15",
        "status": "A",
        "authorized_official_last_name": "MARINO",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-973-3152"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Developmental Therapist",
            "state": "IL",
            "license": "KM61620612P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Ryan Petzel, DC
• Robyn Nicole Pidu
• Deborah Pincsak
• Lisa Carole Pinn, DVM
• Percy Chesa Dingal Pintac
• Lorena Poggensee
• Beverlee Jean Pomplun, M.A. CCC-SLP
• Loretta M. Pontes, LCSW
• Preeti Prashant, OTR/L
• Pres Physical Therapy

• Developmental Therapist in Bartlett, IL
• Providers in Bartlett, IL by specialty
• Developmental Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; 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.