NPIMap

Organization Active NPI

Play for Real Therapy Services LLC

  • Occupational Therapist
  • Rockledge, FL
National Provider Identifier
1891034625
Registry record updated Mar 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
PLAY FOR REAL THERAPY SERVICES LLC
Practice address
1535 Cogswell St Ste C24
Rockledge, FL 32955-2740
Phone
(321) 872-8737
Fax
(321) 978-0336
NPI assigned
Feb 14, 2013
Last updated
Mar 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2016

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

Authorized official

Name
Dr. Peter Bennett, OTD, OTR/LNPI 1811295769
Title
Director
Phone
(321) 872-8737

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
Occupational Therapist 225X00000X NU Primary

Addresses

Primary practice location

1535 Cogswell St Ste C24
Rockledge, FL 32955-2740

Mailing address

1535 Cogswell St Ste C24
Rockledge, FL 32955-2740
Phone (321) 872-8737

National Provider Directory

National Provider Directory

Locations

1535 Cogswell St
Ste C24
Rockledge, FL 32955
Phone (321) 872-8737

Practitioners & affiliated clinicians

Practitioners 5

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": "1360800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457481600000",
    "number": "1891034625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 COGSWELL ST STE C24",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552740",
            "telephone_number": "321-872-8737",
            "fax_number": "321-978-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 COGSWELL ST STE C24",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552740",
            "telephone_number": "321-872-8737",
            "fax_number": "321-978-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAY FOR REAL THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-14",
        "last_updated": "2016-03-09",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "321-872-8737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OTD, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.