Provider Demographics
NPI:1942951561
Name:THERAPLAY PEDIATRICS PHYSICAL THERAPY PC
Entity Type:Organization
Organization Name:THERAPLAY PEDIATRICS PHYSICAL THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ARCEL
Authorized Official - Middle Name:OF
Authorized Official - Last Name:ESCOTO
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:949-508-5584
Mailing Address - Street 1:204 TANGELO
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-4414
Mailing Address - Country:US
Mailing Address - Phone:949-508-5584
Mailing Address - Fax:
Practice Address - Street 1:204 TANGELO
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-4414
Practice Address - Country:US
Practice Address - Phone:949-508-5584
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-14
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty