Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Thera - Play, PLLC

Organization Pediatric Occupational Therapist · NPI 1114460086

Thera - Play, PLLC is a Pediatric Occupational Therapist in Ormond Beach, Florida. Licensed in Florida. Registered with an NPI since 2016.

Licensed in
FL
In the registry since
2016
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

109 Capri Dr
Ormond Beach, FL 32176-2233
Phone: (386) 405-6586
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence OT11104 (FL)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 10889 (FL)

Record details

NPI number1114460086
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy Shirley — Owner/Ceo/Therapist · (386) 405-6586
NPI enumeratedNovember 28, 2016
Last updated in NPPESNovember 28, 2016
Mailing address109 Capri Dr, Ormond Beach, FL 32176-2233

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