Pediatric Theraplay is a
Early Intervention Provider Agency based in Charlotte, North Carolina. Pediatric Theraplay is licensed to practice in North Carolina (license number ) and their current practice location is
3403 Linden Berry Ln, Charlotte, North Carolina. It can be reached at their office (for appointments etc.) via phone at
(704) 258-1724.
NPI number for Pediatric Theraplay is 1942286372 and their current mailing address is Po Box 480462, Charlotte, North Carolina. Pediatric Theraplay
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1942286372.
Healthcare Provider's Profile
| Full Name | Pediatric Theraplay |
|---|
| Type | Facility |
|---|
| Speciality | Early Intervention Provider Agency |
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| Location | 3403 Linden Berry Ln, Charlotte, North Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1942286372
- Provider Enumeration Date: 12/18/2005
- Last Update Date: 12/09/2007
Medical Identifiers
Medical identifiers for Pediatric Theraplay such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942286372 | NPI | - | NPPES |
| 7211876 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2251P0200X | Physical Therapist - Pediatrics | (North Carolina) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 225XP0200X | Occupational Therapist - Pediatrics | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 252Y00000X | Early Intervention Provider Agency | (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Pediatric Theraplay is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Pediatric Theraplay
Po Box 480462,
Charlotte, NC 28269-5320
Ph: (704) 258-1724 | Pediatric Theraplay
3403 Linden Berry Ln,
Charlotte, NC 28269-1300
Ph: (704) 258-1724 |
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