Organization Active NPI

Simon Enterprises & Investments, LLC

Doing business as The Play Clinic

  • Clinic/Center
  • Lutz, FL
National Provider Identifier
1891423133
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SIMON ENTERPRISES & INVESTMENTS, LLC
Doing business as
The Play Clinic
Practice address
1900 Land O Lakes Blvd Ste 107
Lutz, FL 33549-2920
Phone
(813) 436-3558
Fax
(888) 491-5568
NPI assigned
Aug 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Authorized official

Name
Sirena C Simon, MS, CCC-SLPNPI 1457815672
Title
Owner
Phone
(850) 687-1200

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251P0200X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X
Home Health Agency 251E00000X
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1900 Land O Lakes Blvd Ste 107
Lutz, FL 33549-2920

Mailing address

12386 Criollo Rd
Spring Hill, FL 34610-7845
Phone (850) 687-1200

Other practice location 1

12386 Criollo Rd
Spring Hill, FL 34610-7845
Phone (850) 687-1200

Other identifiers 3

IdentifierTypeStateIssuer
1457815672OtherNPI
1851835052OtherFLNPI
1235201450OtherFLNPI

Other names 1

  • The Play Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

1900 Land O Lakes Blvd
Ste 107
Lutz, FL 33549
Phone (813) 436-3558

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1660435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1891423133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12386 CRIOLLO RD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346107845",
            "telephone_number": "850-687-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 LAND O LAKES BLVD STE 107",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335492920",
            "telephone_number": "813-436-3558",
            "fax_number": "888-491-5568"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12386 Criollo Rd",
            "address_purpose": "LOCATION",
            "city": "Spring Hill",
            "state": "FL",
            "postal_code": "346107845",
            "country_code": "US",
            "telephone_number": "850-687-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SIMON ENTERPRISES & INVESTMENTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-14",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "SIRENA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-687-1200",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1457815672",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1851835052",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1235201450",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Play Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.