Organization Active NPI

Growing Roots Pediatric Therapy

  • Pediatric Physical Therapist
  • Bridgeville, PA
National Provider Identifier
1023634128
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
Legal business name
GROWING ROOTS PEDIATRIC THERAPY
Practice address
1216 Parkside Dr
Bridgeville, PA 15017-1267
Phone
(412) 789-5759
NPI assigned
Jun 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Authorized official

Name
Dr. Grace Hyland, PT, DPT
Title
Co-Owner
Phone
(412) 805-0561

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251P0200X Primary

Addresses

Primary practice location

1216 Parkside Dr
Bridgeville, PA 15017-1267

Mailing address

4017 Washington Rd # 122
MC Murray, PA 15317-2510

Other practice location 1

169 Scott Ln
Venetia, PA 15367-1115
Phone (412) 805-0561

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": "1592956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623888000000",
    "number": "1023634128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4017 WASHINGTON RD # 122",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153172510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 PARKSIDE DR",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150171267",
            "telephone_number": "412-789-5759"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "169 Scott Ln",
            "address_purpose": "LOCATION",
            "city": "Venetia",
            "state": "PA",
            "postal_code": "153671115",
            "country_code": "US",
            "telephone_number": "412-805-0561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GROWING ROOTS PEDIATRIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-24",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A",
        "authorized_official_last_name": "HYLAND",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "412-805-0561",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.