Provider Demographics
NPI:1033296819
Name:PLAYTIME THERAPY LLC
Entity Type:Organization
Organization Name:PLAYTIME THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:MCHENRY
Authorized Official - Last Name:HORWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:MS, MPT
Authorized Official - Phone:440-463-8165
Mailing Address - Street 1:18306 CRANBERRY RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:CHAGRIN FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44023-4807
Mailing Address - Country:US
Mailing Address - Phone:440-463-8165
Mailing Address - Fax:866-267-0406
Practice Address - Street 1:18306 CRANBERRY RIDGE LN
Practice Address - Street 2:
Practice Address - City:CHAGRIN FALLS
Practice Address - State:OH
Practice Address - Zip Code:44023-4807
Practice Address - Country:US
Practice Address - Phone:440-463-8165
Practice Address - Fax:866-267-0406
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT-0076052251P0200X
OH1006893225XP0200X
OHSP 5799235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Multi-Specialty
Not Answered225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty
Not Answered235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000370512OtherGROUP PIN;ANTHEM BC/BS
OH2520712Medicaid
OH2520712Medicaid
=========OtherUNITED HEALTHCARE
OH2520712Medicaid