GROWING ROOTS PEDIATRIC THERAPY (NPI# 1023634128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023634128 |
Entity Type | Organization |
Organization Name | GROWING ROOTS PEDIATRIC THERAPY |
Practice Address |
169 Scott Ln Venetia PA 15367-1115 |
Practice Telephone | 4128050561 |
Enumeration Date | 2020-06-24 |
Last Update Date | 2020-06-24 |
Authorized Official Name | DR. GRACE HYLAND (CO-OWNER) |
Authorized Official Telephone | 4128050561 |
Authorized Official Credential | PT, DPT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
169 SCOTT LN |
City | VENETIA |
State | PA |
Zip Code | 15367-1115 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306309927 | Centerville Clinics Inc | Social Worker | Bower Hill Elementary School, 424 Bower Hill Road, Venetia, PA 15367 | 2019-04-10 |
1295274280 | Grace Hyland | Physical Therapist | 169 Scott Lane, Venetia, PA 15367 | 2017-02-23 |
1083887590 | Pressley Ridge | Residential Treatment Facility, Emotionally Disturbed Children | 172 Irishtown Road, Venetia, PA 15367-0000 | 2008-04-04 |
1851429179 | Michele Marie Franks | Physical Therapist | 129 Redwood Dr, Venetia, PA 15367-1012 | 2007-02-28 |
1962543918 | Rachel Anne Wilson | Social Worker | 110 Fulton Dr, Venetia, PA 15367-1013 | 2007-02-12 |
1841856309 | Christy Rybak | Speech-Language Pathologist | 103 Shawnee Trl, Venetia, PA 15367-1020 | 2019-05-10 |
1417517194 | Autumn Dzadovsky | Speech-Language Pathologist | 103 Shawnee Trl, Venetia, PA 15367-1020 | 2019-06-16 |
1477002152 | Wilson Consulting, LLC | Exclusive Provider Organization | 110 Fulton Dr, Venetia, PA 15367-1031 | 2016-09-23 |
1679945802 | Michelle Helbling | Nurse Anesthetist, Certified Registered | 106 Trillium Pl, Venetia, PA 15367-1049 | 2015-10-27 |
1285641381 | Lawrence Delre Dc | Chiropractor | 108 Horizon Dr, Venetia, PA 15367-1052 | 2006-08-02 |
Find all providers in zip 15367 |
Taxonomy Code | 2251P0200X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164038105 | Kaitlyn Elizabeth Stoltz | Physical Therapist | 3 Jason Ct, Avondale, PA 19311-9734 | 2020-09-16 |
1902419146 | Jason Anthony Chippich | Physical Therapist | 171 Sheldon Ave, Pittsburgh, PA 15220-2638 | 2020-08-27 |
1366092413 | Francine Seloi Mathis | Physical Therapist | 7064 Veronica Rd, Upper Darby, PA 19082-4111 | 2019-09-19 |
1588120083 | Lauren Ashley Mccullion | Physical Therapist | 2045 E Lizard Creek Rd, Lehighton, PA 18235-3720 | 2019-02-20 |
1629585104 | Kristine Daniels | Physical Therapist | 2271 Mcarthur Dr, Hatfield, PA 19440-3561 | 2018-01-05 |
1518476019 | Creative Solutions Therapy LLC | Physical Therapist | 2409 Beechtree Rd, Falls Creek, PA 15840-3807 | 2017-09-27 |
1255850095 | Paige Mary Fuller | Physical Therapist | 224 Rimmey Rd, Centre Hall, PA 16828-9217 | 2017-09-13 |
1780126961 | Alyssa Wennin | Physical Therapist | 1938 Bucktail Rd, Saint Marys, PA 15857-3224 | 2016-11-05 |
1811449960 | Cynthia Theresa Fehrle | Physical Therapist | 1113 Tremont Dr, Glenolden, PA 19036-1522 | 2016-10-25 |
1295280055 | Lindsay Cirone | Physical Therapist | 706 Burbridge Rd, Hatboro, PA 19040-4524 | 2016-08-22 |
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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.