Provider Demographics
NPI:1740085695
Name:KIDS PLAY OCCUPATIONAL THERAPY, PLLC
Entity type:Organization
Organization Name:KIDS PLAY OCCUPATIONAL THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:XERISS
Authorized Official - Middle Name:JOANAH
Authorized Official - Last Name:RUFFY
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:917-822-6461
Mailing Address - Street 1:209 MURRAY AVE
Mailing Address - Street 2:
Mailing Address - City:GOSHEN
Mailing Address - State:NY
Mailing Address - Zip Code:10924-1205
Mailing Address - Country:US
Mailing Address - Phone:917-822-6461
Mailing Address - Fax:
Practice Address - Street 1:209 MURRAY AVE
Practice Address - Street 2:
Practice Address - City:GOSHEN
Practice Address - State:NY
Practice Address - Zip Code:10924-1205
Practice Address - Country:US
Practice Address - Phone:917-822-6461
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-14
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty