INTENTIONAL PLAY, INC (NPI# 1063957298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063957298 |
| Entity Type | Organization |
| Organization Name | INTENTIONAL PLAY, INC |
| Other Organization Name | INTENTIONAL PLAY PEDIATRIC THERAPY SERVICES |
| Practice Address |
4712 Marsh Hammock Dr W Jacksonville FL 32224-1858 |
| Practice Telephone | 9044345673 |
| Mailing Telephone | 9044345673 |
| Enumeration Date | 2016-12-26 |
| Last Update Date | 2016-12-29 |
| Authorized Official Name | KRISITN IBACH OWEN (PRESIDENT) |
| Authorized Official Telephone | 9044345673 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PT6722 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Intentional Play Pediatric Therapy Services | Doing Business As Name - Organization |
| Street Address |
4712 MARSH HAMMOCK DR W |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32224-1858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063047256 | Kaleigh Owen | Occupational Therapist | 4712 Marsh Hammock Dr W, Jacksonville, FL 32224-1858 | 2020-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356974372 | Noelle Parker | Specialist/Technologist | 1 Unf Drivve, Jacksonville, FL 32224 | 2020-02-18 |
| 1124685102 | Charcy Rene Stiller | Specialist/Technologist | 1 Unf Dr., Jacksonville, FL 32224 | 2019-05-24 |
| 1265097513 | Mayo Clinic Jacksonville | Ambulance | 13970 Zumbro Dr, Jacksonville, FL 32224 | 2019-05-02 |
| 1639681471 | Brigantti Anesthesia & Spine Care | Clinic/Center | 1361 13th Ave South Suite #210, Jacksonville, FL 32224 | 2017-11-02 |
| 1093240061 | Beric Emilio Berlioz | Anesthesiology | 4500 San Pablo Rd S # J, Jacksonville, FL 32224 | 2017-04-26 |
| 1609240746 | Matthew James Dailey | Nurse Anesthetist, Certified Registered | 2500 San Pablo Rd S, Jacksonville, FL 32224 | 2015-11-29 |
| 1003299603 | Upscale Personal Care Home | Assisted Living Facility | 4375 Autumn River Road, Jacksonville, FL 32224 | 2015-07-01 |
| 1629459375 | Bellanid Fonseca | Social Worker | 3694 Summerlin Ln E, Jacksonville, FL 32224 | 2015-06-17 |
| 1164840500 | Nicholas Scotto | Physical Therapist | 11555 Central Pkwy Ste 1104, Jacksonville, FL 32224 | 2014-04-02 |
| 1497093454 | Quicker Care Urgent Care | Point of Service | 13770 Beach Blvd., Unit # 4, Jacksonville, FL 32224 | 2013-01-27 |
| Find all providers in zip 32224 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124101415 | Elisabeth Federico | Physical Therapist | 3615 Oak St, Jacksonville, FL 32205-9021 | 2006-10-23 |
| 1013008838 | All God's Children Therapy Center | Physical Therapist | 500 West Hickory, Jacksonville, AR 72076-3570 | 2006-09-27 |
| 1750373114 | Eileen C Davies | Physical Therapist | 249 Orange Ave, Jacksonville, FL 32259-4215 | 2005-08-21 |
| 1467817239 | Gregory Meyer | Physical Therapist | 2701 T P White Dr, Jacksonville, AR 72076-2514 | 2015-12-22 |
| 1003284316 | Jessica Dailey | Physical Therapist | 12276 San Jose Blvd Ste 508, Jacksonville, FL 32223-8618 | 2015-09-03 |
| 1558775767 | Jaimie Kuhn Zaharewicz | Physical Therapist | 7749 Normandy Blvd, Suite 147, Jacksonville, FL 32221-7657 | 2014-06-16 |
| 1124432604 | Meghan Elizabeth Rowey | Physical Therapist | 3599 University Blvd S, Jacksonville, FL 32216-4251 | 2014-06-12 |
| 1144570169 | Melissa Newman | Physical Therapist | 14785 Old Saint Augustine Rd, Jacksonville, FL 32258-2496 | 2012-09-17 |
| 1073832200 | Rachel West Kempfert | Physical Therapist | 14785 Old Saint Augustine Rd, Jacksonville, FL 32258-2496 | 2010-05-27 |
| 1174857296 | Janet Oehl | Physical Therapist | 410 New Bridge St, Suite 10-a, Jacksonville, NC 28540-4739 | 2009-09-22 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32224 |
Please comment or provide details below to improve the information on INTENTIONAL PLAY, INC.
| 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.