Healthcare Provider Details

I. General information

NPI: 1497682355
Provider Name (Legal Business Name): THERA-PLAY PEDIATRIC OCCUPATIONAL THERAPY SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 SCHMIDTS LN
STATEN ISLAND NY
10314-5521
US

IV. Provider business mailing address

28 SCHMIDTS LN
STATEN ISLAND NY
10314-5521
US

V. Phone/Fax

Practice location:
  • Phone: 917-279-2900
  • Fax:
Mailing address:
  • Phone: 917-279-2900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MRS. AMAPOLA CERIZZA ALBANO
Title or Position: OCCUPATIONAL THERAPIST
Credential: OTR/L
Phone: 917-279-2900