NPIMap

Organization Active NPI

Kids Play Sensory Gym LLC

Doing business as Kids Play Gym

  • Clinic/Center
  • Bloomington, IN
National Provider Identifier
1922518463
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
KIDS PLAY SENSORY GYM LLC
Doing business as
Kids Play Gym
Practice address
2010 S Yost Ave
Bloomington, IN 47403-3188
Phone
(812) 822-0605
NPI assigned
Oct 11, 2017
Last updated
Nov 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Authorized official

Name
Kathleen Rader
Title
Owner
Phone
(812) 822-0605

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2010 S Yost Ave
Bloomington, IN 47403-3188

Mailing address

2010 S Yost Ave
Bloomington, IN 47403-3188
Phone (812) 822-0605

Other names 1

  • Kids Play Gym Doing business as

National Provider Directory

National Provider Directory

Locations

2010 S Yost Ave
Bloomington, IN 47403
Phone (812) 822-0605

Practitioners & affiliated clinicians

Practitioners 48

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 48

NPI Registry JSON

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1922518463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 S YOST AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474033188",
            "telephone_number": "812-822-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 S YOST AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474033188",
            "telephone_number": "812-822-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS PLAY SENSORY GYM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-11",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "RADER",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-822-0605"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids Play Gym",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.