MEDICARE: HANDS ON PLAY PEDIATRIC THERAPY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	235Z00000X	Speech-Language Pathologist
2	261QP2000X	Physical Therapy Clinic/Center
3	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1215698113
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HANDS ON PLAY PEDIATRIC THERAPY LLC

Provider Business Mailing Address
First Line	:	1590 BEAUMONT RD
Second Line	:
City	:	ROANOKE
State	:	VA
Zip	:	24019-5405
Country	:	US
Telephone Number	:	540-251-1888
Fax Number	:

Provider Business Practice Location Address
First Line	:	1590 BEAUMONT RD
Second Line	:
City	:	ROANOKE
State	:	VA
Zip	:	24019-5405
Country	:	US
Telephone Number	:	540-251-1888
Fax Number	:

Authorized Official
Title or Position	:	OWNER, OCCUPATIONAL THERAPIST
Name	:	ALLIE NEWTON
Credential	:	MS,OTR/L
Telephone Number	:	540-251-1888

Provider Enumeration Date	:	01/04/2022
Last Update Date	:	12/02/2025

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