NPIMap

Organization Active NPI

Theraplay, Inc.

  • Pediatric Occupational Therapist
  • Grand Rapids, MI
National Provider Identifier
1902176258
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
5201006016 Issued in MI
Legal business name
THERAPLAY, INC.
Practice address
2251 E Paris Ave SE
Grand Rapids, MI 49546-2431
Phone
(616) 447-7799
NPI assigned
Jan 4, 2012
Last updated
Feb 12, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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

Authorized official

Name
Teresa L Cooper, MSOTNPI 1740551928
Title
Owner
Phone
(616) 447-7799

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XP0200X 5201006016 MI Primary

Addresses

Primary practice location

2251 E Paris Ave SE
Grand Rapids, MI 49546-2431

Mailing address

2251 East Paris Ave SE
Grand Rapids, MI 49546-2431
Phone (616) 447-7799

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120821001080 MI Part B Supplier - Clinic/Group Practice 7113174442 Receives reassigned benefits from 8 practitioners
Practice locations: Grand Haven, MI; Rockford, MI; Grand Rapids, MI

National Provider Directory

National Provider Directory

Locations

2428 Burton St SE
Ste B
Grand Rapids, MI 49546
Phone (616) 447-7799

2460 Burton St SE
Ste 100
Grand Rapids, MI 49546
Phone (616) 333-2721

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549929600000",
    "number": "1902176258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2251 EAST PARIS AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462431",
            "telephone_number": "616-447-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2251 E PARIS AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462431",
            "telephone_number": "616-447-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPLAY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-04",
        "last_updated": "2019-02-12",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-447-7799",
        "authorized_official_credential": "MSOT"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MI",
            "license": "5201006016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.