Healthcare Provider Details

I. General information

NPI: 1992326904
Provider Name (Legal Business Name): PLAYAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2020
Last Update Date: 04/30/2020
Certification Date: 04/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2050 NE 140TH ST APT 19
NORTH MIAMI BEACH FL
33181-1653
US

IV. Provider business mailing address

14311 BISCAYNE BLVD # 803
NORTH MIAMI FL
33261-3479
US

V. Phone/Fax

Practice location:
  • Phone: 786-529-8847
  • Fax: 305-949-5480
Mailing address:
  • Phone: 786-529-8847
  • Fax: 305-949-5480

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: AMY BAEZ
Title or Position: OWNER
Credential: OTR/L
Phone: 786-529-8847