MEDICARE: PLAYOLOGY THERAPY SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1285342923
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PLAYOLOGY THERAPY SERVICES, LLC

Provider Business Mailing Address
First Line	:	308 CLAIREMONT AVE # E320
Second Line	:
City	:	DECATUR
State	:	GA
Zip	:	30030-2506
Country	:	US
Telephone Number	:	404-721-3215
Fax Number	:

Provider Business Practice Location Address
First Line	:	308 CLAIREMONT AVE # E320
Second Line	:
City	:	DECATUR
State	:	GA
Zip	:	30030-2506
Country	:	US
Telephone Number	:	404-721-3215
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	STEPHANIE KNIGHT
Credential	:	OTR/L
Telephone Number	:	404-721-3215

Provider Enumeration Date	:	11/11/2022
Last Update Date	:	06/08/2026

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