CHILD'S PLAY PEDIATRIC THERAPY, LLC (NPI# 1508921065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508921065 |
| Entity Type | Organization |
| Organization Name | CHILD'S PLAY PEDIATRIC THERAPY, LLC |
| Other Organization Name | THE CENTER FOR PEDIATRIC THERAPY |
| Practice Address |
1713 Ridgefield Rd Ste C Thibodaux LA 70301-4399 |
| Mailing Address |
819 Country Club Blvd Thibodaux LA 70301-3783 |
| Practice Telephone | 9852280726 |
| Practice Fax Number | 9854490944 |
| Mailing Telephone | 9852280726 |
| Mailing Fax Number | 9854490945 |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. MICHELE ROGERS BOWER (OWNER, PT) |
| Authorized Official Telephone | 9852280726 |
| Authorized Official Credential | MPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
04081 | LA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| The Center for Pediatric Therapy | Doing Business As Name - Organization |
| Street Address |
1713 RIDGEFIELD RD STE C |
| City | THIBODAUX |
| State | LA |
| Zip Code | 70301-4399 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912060963 | Michele Rogers Bower | Physical Therapist | 1713 Ridgefield Rd Ste C, Thibodaux, LA 70301-4399 | 2006-12-19 |
| 1659523504 | Lacey Hebert Biondo | Speech-Language Pathologist | 1713 Ridgefield Rd Ste C, Thibodaux, LA 70301-4399 | 2008-10-22 |
| 1366692576 | Ashley Marie Aucoin | Physical Therapist | 1713 Ridgefield Rd Ste C, Thibodaux, LA 70301-4399 | 2008-09-24 |
| 1700048758 | Erin Terracina Dagate | Occupational Therapist | 1713 Ridgefield Rd Ste C, Thibodaux, LA 70301-4399 | 2008-07-01 |
| 1609060490 | Jessica Ann Chiasson | Physical Therapist | 1713 Ridgefield Rd Ste C, Thibodaux, LA 70301-4399 | 2007-09-05 |
| 1982825774 | The Center for Pediatric Therapy,llc | Physical Therapist | 1713 Ridgefield Rd Ste C, Thibodaux, LA 70301-4399 | 2007-05-01 |
| 1922162866 | Sensational Kids Occupational Therapy, LLC | Occupational Therapist | 1713 Ridgefield Rd Ste C, Thibodaux, LA 70301-4399 | 2006-12-21 |
| 1922162684 | Ashley Marcello Waguespack | Occupational Therapist | 1713 Ridgefield Rd Ste C, Thibodaux, LA 70301-4399 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225539620 | Micah Aaron Callais | Nurse Practitioner | 604 N. Acadia Road, Suite 200, Thibodaux, LA 70301 | 2018-02-22 |
| 1982112348 | Katie Leblanc | Massage Therapist | 1115 St. Mary Street, Thibodaux, LA 70301 | 2018-01-18 |
| 1154837391 | Texas Digestive Disease Consultants, Pllc | Internal Medicine | 764 North Acadia Road, Suite A, Thibodaux, LA 70301 | 2017-12-26 |
| 1235648239 | Speech and Feeding Therapy, LLC | Speech-Language Pathologist | 1000 Plantation Rd Ste 1a, Thibodaux, LA 70301 | 2017-09-22 |
| 1285150466 | Tara Payne | Counselor | 303 Hickory Street, Thibodaux, LA 70301 | 2017-08-18 |
| 1427583475 | Tyler Pettigrew | Counselor | 300 Plantation Rd., Apt #24, Thibodaux, LA 70301 | 2017-04-27 |
| 1750825758 | Jessica Barquet | Counselor | 110 Palm Villa Dr Apt 1, Thibodaux, LA 70301 | 2016-12-09 |
| 1013468230 | Shenee Haas Gros | Counselor | 504 Cherry St., Thibodaux, LA 70301 | 2016-10-24 |
| 1982155388 | Southern Ent Associates Inc | Audiologist | 604 North Acadia Road Suite 101, Thibodaux, LA 70301 | 2016-10-20 |
| 1215483888 | Lesheeca Norman, Lpc | Counselor | 306 Victoria Court, Thibodaux, LA 70301 | 2016-09-01 |
| Find all providers in zip 70301 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912060963 | Michele Rogers Bower | Physical Therapist | 1713 Ridgefield Rd Ste C, Thibodaux, LA 70301-4399 | 2006-12-19 |
| 1366692576 | Ashley Marie Aucoin | Physical Therapist | 1713 Ridgefield Rd Ste C, Thibodaux, LA 70301-4399 | 2008-09-24 |
| 1982825774 | The Center for Pediatric Therapy,llc | Physical Therapist | 1713 Ridgefield Rd Ste C, Thibodaux, LA 70301-4399 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578186649 | Abby Elizabeth Lewis | Physical Therapist | 4750 Lake St, Lake Charles, LA 70605-6008 | 2020-05-25 |
| 1730641325 | Mary Beran Heuchert | Physical Therapist | 6147 Shakespeare Dr, Baton Rouge, LA 70817-2920 | 2019-04-02 |
| 1073028148 | Valerie Wooten Barcelona | Physical Therapist | 130 Kayla Street, Shreveport, LA 71105 | 2017-12-11 |
| 1427561141 | Mark - Meaningful Autistic Resources for Kids | Physical Therapist | 41172 New Orleans Dr, Sorrento, LA 70778-3424 | 2017-11-16 |
| 1225559263 | Susan Anderson Roblow | Physical Therapist | 921 Unadilla Street, Shreveport, LA 71106 | 2017-06-29 |
| 1376063701 | Katie Meyers Stone | Physical Therapist | 1034 Arabella St, New Orleans, LA 70115-3139 | 2017-06-27 |
| 1083034177 | Andrew Stout | Physical Therapist | 706 Sundale Dr, Lake Charles, LA 70607-7032 | 2014-04-16 |
| 1417374661 | Yingna Li | Physical Therapist | 2327 Whitney Dr, Monroe, LA 71201-2954 | 2014-03-26 |
| 1699022897 | Childrens Rehab Therapy | Physical Therapist | 69315 Prevost Rd, Mandeville, LA 70471-7703 | 2012-08-07 |
| 1790031425 | Dominique Player | Physical Therapist | 129 Panther Run, Destrehan, LA 70047-3133 | 2012-07-31 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.