Organization Active NPI

Grow Smart Therapy LLC

  • Clinic/Center
  • Pembroke Pines, FL
National Provider Identifier
1033080403
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
GROW SMART THERAPY LLC
Practice address
330 NW 91St Ave
Pembroke Pines, FL 33024-6434
Phone
(786) 349-8049
NPI assigned
Sep 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Authorized official

Name
Gretel Hernandez
Title
Ambr
Phone
(786) 349-8854

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

330 NW 91St Ave
Pembroke Pines, FL 33024-6434

Mailing address

122 Cultural Park Blvd N
Cape Coral, FL 33909-2522
Phone (786) 349-8845

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1758067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758067200000",
    "number": "1033080403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 CULTURAL PARK BLVD N",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339092522",
            "telephone_number": "786-349-8845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 NW 91ST AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246434",
            "telephone_number": "786-349-8049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROW SMART THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-17",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-15",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "GRETEL",
        "authorized_official_title_or_position": "AMBR",
        "authorized_official_telephone_number": "786-349-8854"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

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