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NPI Code Detail

MEDICARE: PLAYABILITIES FOR SENSATIONAL KIDS, LLC

MEDICARE: PLAYABILITIES FOR SENSATIONAL KIDS, 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
1225X00000XOccupational Therapist1702875KS
2235Z00000XSpeech-Language Pathologist2011013398KS
3235Z00000XSpeech-Language Pathologist2011013608MO
42251P0200XPediatric Physical TherapistKS 11-04892KS
5225XP0200XPediatric Occupational Therapist2011024109MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11922369909OTHERKSNPI
21821438516OTHERKSNPI

General Provider Information

NPI Number : 1861815532
Entity Type Code : Organization
Provider Name (Legal Business Name) : PLAYABILITIES FOR SENSATIONAL KIDS, LLC
Provider Business Mailing Address
First Line : 1216 W 69TH TER
Second Line :
City : KANSAS CITY
State : MO
Zip : 64113-2055
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3715 W 133RD ST
Second Line :
City : LEAWOOD
State : KS
Zip : 66209-3347
Country : US
Telephone Number : 913-515-3531
Fax Number : 816-222-0679
Authorized Official
Title or Position : OCCUPATIONAL THERAPIST/OWNER
Name : KELLY ANN REARDON
Credential : MOTR/L
Telephone Number : 913-515-3531
Provider Enumeration Date : 01/30/2014
Last Update Date : 05/05/2015

Similar Medicare Providers

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Practice Location Address:
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1952541575 — MRS. AMBER LAWSON ENGLEHART MOTR/L
Practice Location Address:
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Practice Fax:
1821438516 — MS. KELLY ANN REARDON MOTR/L
Practice Location Address:
3715 W 133RD ST
LEAWOOD, KS
66209-3347
Practice Phone: 913-515-3531
Practice Fax: 816-222-0679
1912309873 — MRS. KAYLA ANNE POWERS PT, DPT, MLD-C
Practice Location Address:
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Practice Fax:
1033512520 — ALLIE MULLENDER
Practice Location Address:
3715 W 133RD ST
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Practice Fax:

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