Organization
PEDIATRIC THERAPLAY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LYNNE SPENCER OTR (OCCUPATIONAL THERAPIST)
(817) 676-1793
Entity
Organization
Contact information
Practice address
2401 IRA E WOODS AVE, SUITE 300, GRAPEVINE, TX 76051-3997
(817) 676-1793
(817) 428-6922
Mailing address
8308 REGENCY DR, NORTH RICHLAND HILLS, TX 76180-1490
(817) 676-1793
(817) 428-6922
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
111332
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003NN
BCBS GROUP ID
TX
01
—
8T6270
BCBS PIN
TX
01
—
9407121
PHCS PIN
TX
Enumeration date
12/28/2006
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up