Provider Demographics
NPI:1427173681
Name:PLAYTIME PHYSICAL THERAPY, INC
Entity type:Organization
Organization Name:PLAYTIME PHYSICAL THERAPY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:P
Authorized Official - Last Name:DUFOUR
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:207-557-3493
Mailing Address - Street 1:206 ROUTE 133
Mailing Address - Street 2:
Mailing Address - City:WINTHROP
Mailing Address - State:ME
Mailing Address - Zip Code:04364-4019
Mailing Address - Country:US
Mailing Address - Phone:207-557-3493
Mailing Address - Fax:207-377-2468
Practice Address - Street 1:206 ROUTE 133
Practice Address - Street 2:
Practice Address - City:WINTHROP
Practice Address - State:ME
Practice Address - Zip Code:04364-4019
Practice Address - Country:US
Practice Address - Phone:207-557-3493
Practice Address - Fax:207-377-2468
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPT31032251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME7878734Medicare UPIN
ME100033Medicare UPIN
ME1447697Medicare UPIN