INTENTIONAL PLAY PEDIATRIC THERAPY SERVICES
NPI 1063957298
Physical Therapist - Pediatrics in Jacksonville, FL

Active since December 26, 2016
4712 MARSH HAMMOCK DR W, JACKSONVILLE, FL 32224(904) 434-5673 Get Directions Write a Review

NPPES record last updated: December 29, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Intentional Play Pediatric Therapy Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTENTIONAL PLAY PEDIATRIC THERAPY SERVICES (NPI 1063957298) is a healthcare organization registered as a pediatrics in Jacksonville, Florida and active in the NPI registry since December 2016. The organization lists Krisitn Ibach Owen, President, as its authorized official.

NPPES Registry Identity

NPI1063957298
Entity TypeOrganization
Primary Taxonomy2251P0200X
Legal Business NameINTENTIONAL PLAY, INC
Location Address4712 MARSH HAMMOCK DR WJacksonville, FL 32224-1858
Mailing Address4712 Marsh Hammock Dr WJacksonville, FL 32224-1858 · (904) 434-5673
Organization SubpartNo
Authorized OfficialKrisitn Ibach OwenPresident · (904) 434-5673
Enumeration DateDecember 26, 2016
Last NPPES UpdateDecember 29, 2016
NPI 1063957298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License Licensed in FL · PT6722
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
4712 MARSH HAMMOCK DR W, Jacksonville, FL 32224

Other Names 1

Doing Business AsIntentional Play Pediatric Therapy Services

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
4712 MARSH HAMMOCK DR W
JACKSONVILLE, FL 32224

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Intentional Play, Inc's NPI number?

The NPI number for Intentional Play, Inc is 1063957298. It was assigned to this organization in the NPPES registry on December 26, 2016. The provider is doing business as Intentional Play Pediatric Therapy Services.

Where is Intentional Play, Inc located?

Intentional Play, Inc is located at 4712 Marsh Hammock Dr W, Jacksonville, FL 32224. The listed phone number is (904) 434-5673.

What is Intentional Play, Inc's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

What insurance does Intentional Play, Inc accept?

Health plans from Ambetter Health, Ambetter of Alabama and Molina Healthcare list Intentional Play, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Intentional Play, Inc was last updated on December 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.