Provider Demographics
NPI:1003081969
Name:PLAYTIME THERAPY SOLUTIONS
Entity Type:Organization
Organization Name:PLAYTIME THERAPY SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTI
Authorized Official - Middle Name:T
Authorized Official - Last Name:DUTCHESS
Authorized Official - Suffix:
Authorized Official - Credentials:MS, OTR
Authorized Official - Phone:317-441-7286
Mailing Address - Street 1:8812 STONEWALL DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46231-2571
Mailing Address - Country:US
Mailing Address - Phone:317-441-7286
Mailing Address - Fax:317-243-8499
Practice Address - Street 1:8812 STONEWALL DR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46231-2571
Practice Address - Country:US
Practice Address - Phone:317-441-7286
Practice Address - Fax:317-243-8499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-22
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31001955A225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200705000AOtherIHCP