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THERAPLAY INC. NPI 1770554990


NPI Information

NPI: 1770554990
Provider Name: THERAPLAY, INC.
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
505 E DOUBLE EAGLE PL
FAYETTEVILLE, AR
ZIP 72701
Phone: (479) 856-6571
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THERAPLAY, INC. is a prosthetic orthotic supplier in Fayetteville, AR. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. THERAPLAY, INC. NPI is 1770554990. The provider is registered as an organization entity type.

The provider's business location address is:

505 E DOUBLE EAGLE PL
FAYETTEVILLE, AR
ZIP 72701-143
Phone: (479) 856-6571
Fax: (479) 856-6571

The provider's authorized official is Barron Tracy South .
The authorized official title is Physical Therapist / Owner and has the following contact phone number (479) 856-6571.

The enumeration date for this NPI number is 1/27/2006 and was last updated on 9/14/2009.


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
1261QP2000XClinic/CenterPhysical TherapyNo
2335E00000XProsthetic/Orthotic SupplierYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1139854742MEDICAIDARKANSAS
2158131716MEDICAIDARKANSAS

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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