# PLAYOLOGY PEDIATRIC THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518687656
- **Authorized official:** HAVILAH CHAMPOUX MS, OTR (OWNER/OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (574) 524-0036

## Contact information

- **Practice address:** 106 E PICKWICK DR, SYRACUSE, IN 46567-1713
- **Practice address phone:** (574) 524-0036
- **Mailing address:** 3305 GRAPE RD STE 3, MISHAWAKA, IN 46545-2714
- **Mailing address phone:** (574) 217-7423
- **Mailing address fax:** (574) 213-5319

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 224Z00000X | Occupational Therapy Assistant | — | NULL | — |
| 224Z00000X | Occupational Therapy Assistant | — | — | — |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225200000X | Physical Therapy Assistant | — | NULL | — |
| 225200000X | Physical Therapy Assistant | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 08/30/2022
- **Last updated:** 04/30/2026