Healthcare Provider Details

I. General information

NPI: 1710788302
Provider Name (Legal Business Name): ADAPT AND PLAY THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2025
Last Update Date: 03/20/2025
Certification Date: 03/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1450 LA FRANCE ST NE APT 115
ATLANTA GA
30307-2930
US

IV. Provider business mailing address

1450 LA FRANCE ST NE APT 115
ATLANTA GA
30307-2930
US

V. Phone/Fax

Practice location:
  • Phone: 770-286-5348
  • Fax:
Mailing address:
  • Phone: 770-286-5348
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225XF0002X
TaxonomyFeeding, Eating & Swallowing Occupational Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: HANNAH STERN
Title or Position: OWNER
Credential: OTD, MHS, OTR/L
Phone: 229-347-1729