Active NPI
Homegrown Pediatric Therapies LLC
- Physical Therapist
- Summerville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- HOMEGROWN PEDIATRIC THERAPIES LLC
- Practice address
- 201 Sigma Drive
Suite 300
Summerville, SC 29486-7722 - Phone
- (208) 613-7361
- Fax
- (843) 892-8444
- NPI assigned
- Mar 6, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ross Gardner, PT, DPT
- Title
- Owner, Physical Therapist
- Phone
- (208) 613-7361
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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | |||
| Physical Therapist | 225100000X | Primary | ||
| Pediatric Physical Therapist | 2251P0200X | |||
| Physical Therapy Assistant | 225200000X | |||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Assistant | 2355S0801X | |||
| Speech-Language Pathologist | 235Z00000X |
Addresses
Primary practice location
201 Sigma Drive
Suite 300
Summerville, SC 29486-7722
Mailing address
201 Sigma Drive
Suite 300
Summerville, SC 29486-7722
Phone (208) 613-7361
Other practice location 1
211 Squire Pope Rd
Summerville, SC 29486-6999
Phone (208) 613-7361
Other names 1
- HomeGrown PT
National Provider Directory
National Provider Directory- Tax ID family
- Homegrown Pediatric Therapies LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapist
- Idaho Falls, ID
- NPI 1992690101
Locations
1650 Sam Rittenberg Blvd
Ste 4
Charleston, SC 29407
301 N Gum St
Summerville, SC 29483
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Summerville, SC
- NPI 1669944831
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678060800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1751328000000",
"number": "1043910441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 SIGMA DRIVE",
"address_2": "SUITE 300",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294867722",
"telephone_number": "208-613-7361",
"fax_number": "843-892-8444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 SIGMA DRIVE",
"address_2": "SUITE 300",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294867722",
"telephone_number": "208-613-7361",
"fax_number": "843-892-8444"
}
],
"practiceLocations": [
{
"address_1": "211 Squire Pope Rd",
"address_purpose": "LOCATION",
"city": "Summerville",
"state": "SC",
"postal_code": "294866999",
"country_code": "US",
"telephone_number": "208-613-7361",
"fax_number": "843-892-8444",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "HOMEGROWN PEDIATRIC THERAPIES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-06",
"last_updated": "2025-07-01",
"certification_date": "2025-07-01",
"status": "A",
"authorized_official_last_name": "GARDNER",
"authorized_official_first_name": "ROSS",
"authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
"authorized_official_telephone_number": "208-613-7361",
"authorized_official_credential": "PT, DPT"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapy Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "2251P0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2355S0801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "HomeGrown PT",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.