Healthcare Provider Details

I. General information

NPI: 1992620587
Provider Name (Legal Business Name): PLAY WITH PURPOSE PEDIATRIC THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10663 VETERAN MEMORIAL HIGHWAY
PINE PRAIRIE LA
70576
US

IV. Provider business mailing address

3051 HIGHWAY 115
SAINT LANDRY LA
71367-3225
US

V. Phone/Fax

Practice location:
  • Phone: 337-459-8393
  • Fax:
Mailing address:
  • Phone: 337-459-8393
  • 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: KAITLYN R SPEARS
Title or Position: OCCUPATIONAL THERAPIST
Credential: MOT, OTR/L
Phone: 337-459-8393