Playbig Therapy & Recreation Zone, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PLAYBIG THERAPY & RECREATION ZONE, LLC

Practice address

4500 W Shannon Lakes Dr Ste 3
Tallahassee, FL 32309-2240

Phone

(850) 942-2000

Fax

(850) 942-2003

NPI assigned

Feb 23, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Kelley Hackler Hutto, PT

Title

Owner

Phone

(850) 942-2000

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Playbig Other name

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10572/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1393113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557964800000",
    "number": "1912322215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 W SHANNON LAKES DR STE 3",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323092240",
            "telephone_number": "850-942-2000",
            "fax_number": "850-942-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 W SHANNON LAKES DR STE 3",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323092240",
            "telephone_number": "850-942-2000",
            "fax_number": "850-942-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAYBIG THERAPY & RECREATION ZONE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-23",
        "last_updated": "2019-05-16",
        "status": "A",
        "authorized_official_last_name": "HUTTO",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_middle_name": "HACKLER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-942-2000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010690100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013602400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013441900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Playbig",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Playbig",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jaclyn Stokes Plack, M. S. CF-SLP
• Planned Parenthood of Florida, Inc.
• Planned Parenthood of Florida, Inc.
• Planned Parenthood of North Florida, Inc.
• Michael Thomas Plasay
• Playbig Therapy Alabama
• Benna Player, RN
• Playhouse Hair LLC
• Madison Pleasants
• Chelsea Plotner

• Pediatrics Physician in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; 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.