Pediatric Theraplay

LBN: Pediatric Theraplay
Pediatric Theraplay is an health care organization with primary practice located at 3214 Noda Blvd , Charlotte NC 28205-1259. The organization recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as the primary health care specialty. Pediatric Theraplay can be contacted via phone (829) 773-3038, or through Teal, Wendy via phone (704) 258-1724.

Contact Information

Primary practice address
3214 Noda Blvd Charlotte NC 28205-1259
Phone: (829) 773-3038
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Teal, Wendy
Phone: (704) 258-1724

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X 8042 North Carolina

Profile Details

NPI number 1750626917
LBN Legal business name Pediatric Theraplay
DBA Doing business as
Authorized official Teal, Wendy
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2012
Last updated Nov 29th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750626917 NPPES
North Carolina MEDICAID 7412950

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