NPI Code Details Logo

NPI 1235285891

NPI 1235285891 : PLAYFUL INTERVENTIONS, INC. : LITHIA, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1235285891
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    PLAYFUL INTERVENTIONS, INC. 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    01/26/2007
-----------------------------------------------------
    Last Update Date     |    09/11/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    5920 BEACONPARK ST 
-----------------------------------------------------
    City                 |    LITHIA
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33547-5886
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    813-413-7785
-----------------------------------------------------
    Fax                  |    407-386-7132
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    P.O. BOX 227 
-----------------------------------------------------
    City                 |    LITHIA
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33547-0227
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    813-413-7785
-----------------------------------------------------
    Fax                  |    407-386-7132
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    PRESIDENT
-----------------------------------------------------
    Name                 |     AMY J TAYLOR 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    813-413-7785
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    2251P0200X
-----------------------------------------------------
    Taxonomy Name        |    Pediatric Physical Therapist
-----------------------------------------------------
    License Number       |    PT19005
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    225XP0200X
-----------------------------------------------------
    Taxonomy Name        |    Pediatric Occupational Therapist
-----------------------------------------------------
    License Number       |    OT9965
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    225XP0200X
-----------------------------------------------------
    Taxonomy Name        |    Pediatric Occupational Therapist
-----------------------------------------------------
    License Number       |    OT11388
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    235Z00000X
-----------------------------------------------------
    Taxonomy Name        |    Speech-Language Pathologist
-----------------------------------------------------
    License Number       |    SA7645
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    235Z00000X
-----------------------------------------------------
    Taxonomy Name        |    Speech-Language Pathologist
-----------------------------------------------------
    License Number       |    SA4830
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.