Pediatric Theraplay Inc

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

111332 Issued in TX

Legal business name

PEDIATRIC THERAPLAY INC

Practice address

2401 Ira E Woods Ave
Suite 300
Grapevine, TX 76051-3997

Phone

(817) 676-1793

Fax

(817) 428-6922

NPI assigned

Dec 28, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Lynne Spencer, OTRNPI 1972626232

Title

Occupational Therapist

Phone

(817) 676-1793

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

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.

• Jennifer Lynne Spencer, OTR

  • Occupational Therapist
  • Grapevine, TX
  • NPI 1972626232
  NPD (past) Authorized official

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881750461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8308 REGENCY DR",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761801490",
            "telephone_number": "817-676-1793",
            "fax_number": "817-428-6922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 IRA E WOODS AVE",
            "address_2": "SUITE 300",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513997",
            "telephone_number": "817-676-1793",
            "fax_number": "817-428-6922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC THERAPLAY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "817-676-1793",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "111332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP ID",
            "identifier": "0003NN",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "8T6270",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS PIN",
            "identifier": "9407121",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peak Medical PLLC
• Barbara S Peavey, PHD
• Pediatric Dermatology of No. TX (Fred E Ghali, MD)
• Pediatric Ophthalmology PA
• Pediatric Sports and Spine Associates
• Amber Peek
• Rebecca Elizabeth Pegues, PHARMACY TECH
• Carmen Loren Pemberton, NP
• Ismail S Penukonda, MD
• Richard Perez, D.D.S.

• Pediatric Occupational Therapist in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Pediatric Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.