Organization Active NPI

Growing by Play Pediatric Therapy, LLC

  • Pediatric Occupational Therapist
  • Kennesaw, GA
National Provider Identifier
1003783754
Registry record updated Oct 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
GROWING BY PLAY PEDIATRIC THERAPY, LLC
Practice address
1772 Mountain Oak Rd NW
Kennesaw, GA 30152-4278
Phone
(678) 498-0588
NPI assigned
Oct 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Naeha Patel Sur, MS, OTR/L, CLCNPI 1447680434
Title
Occupational Therapist
Phone
(678) 498-0588

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN)Group: 193200000X MULTI-SPECIALTY GROUP 174N00000X
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X Primary

Addresses

Primary practice location

1772 Mountain Oak Rd NW
Kennesaw, GA 30152-4278

Mailing address

1772 Mountain Oak Rd NW
Kennesaw, GA 30152-4278
Phone (678) 498-0588

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1760745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760745600000",
    "number": "1003783754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1772 MOUNTAIN OAK RD NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301524278",
            "telephone_number": "678-498-0588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1772 MOUNTAIN OAK RD NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301524278",
            "telephone_number": "678-498-0588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWING BY PLAY PEDIATRIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-18",
        "last_updated": "2025-10-18",
        "certification_date": "2025-10-18",
        "status": "A",
        "authorized_official_last_name": "SUR",
        "authorized_official_first_name": "NAEHA",
        "authorized_official_middle_name": "PATEL",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "678-498-0588",
        "authorized_official_credential": "MS, OTR/L, CLC"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.