EXCEL GROWTH THERAPIES, LLC (NPI# 1073788931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073788931 |
| Entity Type | Organization |
| Organization Name | EXCEL GROWTH THERAPIES, LLC |
| Practice Address |
10105 S Fulton Dr Fredericksburg VA 22408-0260 |
| Practice Telephone | 5719317420 |
| Practice Fax Number | 8777713419 |
| Mailing Telephone | 5719317420 |
| Mailing Fax Number | 8777713419 |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | DENIECE MARAGRITA' PAYNE (DIRECTOR) |
| Authorized Official Telephone | 5713308120 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 224Z00000X | Occupational Therapy Assistant | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| N | 225100000X | Physical Therapist | 2305204162 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225200000X | Physical Therapy Assistant | 2306000431 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225400000X | Rehabilitation Practitioner | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| N | 225600000X | Dance Therapist | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| N | 225CA2400X |
Rehabilitation Counselor Specialization: Assistive Technology Practitioner |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225CA2500X |
Rehabilitation Counselor Specialization: Assistive Technology Supplier |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235500000X | Specialist/Technologist | VA | Speech, Language and Hearing Service Providers | |
| N | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
Speech, Language and Hearing Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | VA | Speech, Language and Hearing Service Providers | |
| N | 252Y00000X | Early Intervention Provider Agency | Agencies | ||
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers | ||
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1073788931 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10851 Tidewater Trl, #103, Fredericksburg, VA 224082048 | 5406936007 | 8777713419 |
| Street Address |
10105 S FULTON DR |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22408-0260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558837641 | Valerie Myers | Occupational Therapist | 10105 S Fulton Dr, Fredericksburg, VA 22408-0260 | 2018-10-16 |
| 1003052523 | Deniece Maragrita' Payne | Specialist/Technologist | 10105 S Fulton Dr, Fredericksburg, VA 22408-0260 | 2009-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285108340 | Embrace Foster Care, LLC | Foster Care Agency | 10705 Spotsylvania Avenue, Suite 101, Fredricksberg, VA 22408 | 2019-01-11 |
| 1730698689 | Raza N Syed | Driver | 12804 Willow Point Drive, Fredericksburg, VA 22408 | 2017-09-22 |
| 1184149122 | Eve Hope Pendletom | Driver | 2717 Francis Ct, Fredericksbrg, VA 22408 | 2017-08-10 |
| 1700316304 | Transcendent Truth Inc | Counselor | 2601 Wheatland Wood Drive, Fredericksburg, VA 22408 | 2017-06-15 |
| 1487047361 | Michele Neverdon | Counselor | 150 Olde Greenwich Dr Ste 211, Fredericksburg, VA 22408 | 2015-03-16 |
| 1073903688 | Shelby Jean Galloway | Radiology | 12709 Willow Pt. Dr., Fredericksburg, VA 22408 | 2015-02-03 |
| 1417355066 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 4543 Empire Ct, Fredericksburg, VA 22408 | 2014-12-15 |
| 1154726123 | Md Wellness and Health Center | Internal Medicine | 10518 Spotsylvania Ave, Suite 102, Fredericksburg, VA 22408 | 2014-11-03 |
| 1023358595 | Joyce Catherine Corbin Moya | Social Worker | 19003 Main Street, Fredericksburg, VA 22408 | 2013-02-21 |
| 1992063234 | Gustavo A Elias | Radiology | 10401 Spotsylvania Ave Ste 203, Fredericksburg, VA 22408 | 2012-04-24 |
| Find all providers in zip 22408 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710237219 | Crossroads Counseling Center, Inc. | Day Training, Developmentally Disabled Services | 150 Olde Greenwich Drive, Fredericksburg, VA 22408 | 2012-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043317 | Golgota Health Services Inc | Day Training, Developmentally Disabled Services | 4216 Evergreen Ln Ste 133, Annandale, VA 22003-3256 | 2020-11-05 |
| 1336755917 | Leap of Faith Adult Services LLC | Day Training, Developmentally Disabled Services | 528 Virginia Ave, Petersburg, VA 23803-5759 | 2020-09-19 |
| 1730794603 | Momentum 180 LLC | Day Training, Developmentally Disabled Services | 700 Mobjack Pl Ste 201, Newport News, VA 23606-1957 | 2020-09-09 |
| 1285243626 | The Arc of Harrisonburg and Rockingham Inc. | Day Training, Developmentally Disabled Services | 620 Simms Ave, Harrisonburg, VA 22802-4813 | 2020-07-30 |
| 1316565351 | Riverside Counseling and Consulting | Day Training, Developmentally Disabled Services | 4 S 1st St, Richmond, VA 23219-3717 | 2020-07-07 |
| 1578185807 | Artis Transitions Inc | Day Training, Developmentally Disabled Services | 217 W Beverley St, Staunton, VA 24401-4206 | 2020-05-08 |
| 1063046159 | Progressive Steps Family Services LLC | Day Training, Developmentally Disabled Services | 700 Lombardy Ave Apt 7413, Newport News, VA 23606-3368 | 2020-02-27 |
| 1629602891 | The Gates of Beautiful LLC | Day Training, Developmentally Disabled Services | 7839 Ashton Ave, Manassas, VA 20109-2883 | 2020-02-26 |
| 1386288041 | Azarel Community Support, LLC | Day Training, Developmentally Disabled Services | 112 Brandon Rd, Richmond, VA 23224-1212 | 2019-11-05 |
| 1831732312 | The Branch Community Group | Day Training, Developmentally Disabled Services | 24293 Lankford Highway, Tasley, VA 23441 | 2019-10-28 |
| Find all providers with the same taxonomy | ||||
| City | FREDERICKSBURG |
| Zip Code | 22408 |
Please comment or provide details below to improve the information on EXCEL GROWTH THERAPIES, LLC.
| 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.