Space to Grow Therapy

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

SPACE TO GROW THERAPY

Practice address

5502 Pennsylvania Blvd
Concord, CA 94521-4016

Phone

(408) 250-7469

NPI assigned

Dec 8, 2022

Organization subpart

No

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

Authorized official

Name

Anjelica Houston, OTR/L

Title

Occupational Therapist

Phone

(408) 250-7469

Specialties & licenses 1

Addresses

Practitioners 1

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

• Anjelica Patricia Fall-Brooks, OTR/L

  • Pediatric Occupational Therapist
  • Lafayette, CA
  • NPI 1316692247
  NPD

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

{
    "created_epoch": "1670457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670457600000",
    "number": "1033820121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5502 PENNSYLVANIA BLVD",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945214016",
            "telephone_number": "408-250-7469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5502 PENNSYLVANIA BLVD",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945214016",
            "telephone_number": "408-250-7469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPACE TO GROW THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-08",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A",
        "authorized_official_last_name": "HOUSTON",
        "authorized_official_first_name": "ANJELICA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "408-250-7469",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Soulette-Cea, PT
• Sounds and Words Speech Therapy, Inc.
• Justin Jithakone Soungpanya
• Ben Southard
• Evelia Rose Soza
• Madeline Spahr, CNM
• Jennifer Spain
• Noelle Spanne
• Leah Marie Sparks, NP
• Levi Sparks

• Occupational Therapist in Concord, CA
• Providers in Concord, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.