Healthcare Provider Details

I. General information

NPI: 1104799493
Provider Name (Legal Business Name): PLAY N GROW THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2025
Last Update Date: 10/09/2025
Certification Date: 10/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1134 N MAIN ST
ALGONQUIN IL
60102-3482
US

IV. Provider business mailing address

425 WOODBINE LN
FOX RIVER GROVE IL
60021-1227
US

V. Phone/Fax

Practice location:
  • Phone: 224-864-9491
  • Fax:
Mailing address:
  • Phone: 330-687-7117
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: KARINA AYRAPETYAN
Title or Position: OCCUPATIONAL THERAPIST, OWNER
Credential:
Phone: 330-687-7117