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INTENTIONAL PLAY INC NPI 1063957298


NPI Information

NPI: 1063957298
Provider Name: INTENTIONAL PLAY, INC

Doing Business As: INTENTIONAL PLAY PEDIATRIC THERAPY SERVICES

Classification: Physical Therapist - 2251P0200X
Entity Type: Organization

Specialization: Pediatrics

Address:
4712 MARSH HAMMOCK DR W
JACKSONVILLE, FL
ZIP 32224
Phone: (904) 434-5673
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INTENTIONAL PLAY, INC is a pediatrics physical therapist in Jacksonville, FL. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given. INTENTIONAL PLAY, INC NPI is 1063957298. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Intentional Play Pediatric Therapy Services.

The provider's business location address is:

4712 MARSH HAMMOCK DR W
JACKSONVILLE, FL
ZIP 32224-858
Phone: (904) 434-5673

The provider's authorized official is Krisitn Ibach Owen .
The authorized official title is President and has the following contact phone number (904) 434-5673.

The enumeration date for this NPI number is 12/26/2016 and was last updated on 12/29/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12251P0200XPhysical TherapistPediatricsPT6722FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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