Healthcare Provider Details

I. General information

NPI: 1720068489
Provider Name (Legal Business Name): THERAPLAY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2006
Last Update Date: 12/19/2023
Certification Date: 12/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

638 BRANDYWINE PKWY
WEST CHESTER PA
19380-4278
US

IV. Provider business mailing address

PO BOX 411422
BOSTON MA
02241-1422
US

V. Phone/Fax

Practice location:
  • Phone: 610-436-3600
  • Fax: 610-436-3606
Mailing address:
  • Phone: 914-294-4050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY GRIFFITHS
Title or Position: DIRECTOR OF PAYER RELATIONS
Credential:
Phone: 914-294-4050