NPIMap

Organization Active NPI

Grow Pediatric Therapy and Group Services LLC

  • Pediatric Occupational Therapist
  • Evans, GA
National Provider Identifier
1023603206
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
GROW PEDIATRIC THERAPY AND GROUP SERVICES LLC
Practice address
621 Ponder Place Dr Ste 2
Evans, GA 30809-3121
Phone
(706) 310-8383
NPI assigned
Mar 9, 2021
Last updated
Jan 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Authorized official

Name
Mrs. Victorie Noelle Steed, MS, OTR/LNPI 1578973582
Title
Organizer
Phone
(256) 328-1457

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
Occupational Therapy Assistant 224Z00000X NU
Pediatric Occupational Therapist 225XP0200X NU Primary

Addresses

Primary practice location

621 Ponder Place Dr Ste 2
Evans, GA 30809-3121

Mailing address

621 Ponder Place Dr Ste 2
Evans, GA 30809-3121
Phone (706) 310-8383

Other practice location 1

3713 Wrightsboro Rd
Augusta, GA 30909-9541
Phone (256) 328-1457

National Provider Directory

National Provider Directory

Locations

3713 Wrightsboro Rd
Augusta, GA 30909
Phone (256) 328-1457

621 Ponder Place Dr
Ste 2
Evans, GA 30809
Phone (706) 310-8383

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643241600000",
    "number": "1023603206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 PONDER PLACE DR STE 2",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093121",
            "telephone_number": "706-310-8383",
            "fax_number": "888-528-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 PONDER PLACE DR STE 2",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093121",
            "telephone_number": "706-310-8383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3713 Wrightsboro Rd",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309099541",
            "country_code": "US",
            "telephone_number": "256-328-1457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GROW PEDIATRIC THERAPY AND GROUP SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-09",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A",
        "authorized_official_last_name": "STEED",
        "authorized_official_first_name": "VICTORIE",
        "authorized_official_middle_name": "NOELLE",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "256-328-1457",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evans, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.