Premaplay LLC

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

15872 Issued in FL

Legal business name

PREMAPLAY LLC

Practice address

541 One Center Blvd
Apt 303
Altamonte Springs, FL 32701-2216

Phone

(574) 807-5135

NPI assigned

Apr 14, 2017

Organization subpart

No

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

Authorized official

Name

Brianna McConnell, COTA/L

Title

Independent Contractor

Phone

(574) 807-5135

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1492128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492128000000",
    "number": "1891229985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 ONE CENTER BLVD",
            "address_2": "APT 303",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327012216",
            "telephone_number": "574-807-5135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 ONE CENTER BLVD",
            "address_2": "APT 303",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327012216",
            "telephone_number": "574-807-5135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMAPLAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-14",
        "last_updated": "2017-04-14",
        "status": "A",
        "authorized_official_last_name": "MCCONNELL",
        "authorized_official_first_name": "BRIANNA",
        "authorized_official_title_or_position": "INDEPENDENT CONTRACTOR",
        "authorized_official_telephone_number": "574-807-5135",
        "authorized_official_credential": "COTA/L"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "15872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapy Assistant in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2017; 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.