Active NPI
Ready Set Grow Pediatric Therapy LLC
- Pediatric Occupational Therapist
- Bristol, TN
National Provider Identifier
1063125094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- Legal business name
- READY SET GROW PEDIATRIC THERAPY LLC
- Practice address
- 1241 Volunteer Pkwy Ste 400
Bristol, TN 37620-4635 - Phone
- (910) 818-0977
- NPI assigned
- Jan 4, 2023
- Last updated
- Jan 4, 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
- Shali Nicole Denison, OTR/L
- Title
- Clinical Director/OT
- Phone
- (423) 736-7369
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | NU | Primary | |
| Speech-Language Pathologist | 235Z00000X | NU |
Addresses
Primary practice location
1241 Volunteer Pkwy Ste 400
Bristol, TN 37620-4635
Mailing address
13 Pendleton PL
Kingsport, TN 37664-2169
Phone (423) 736-7369
National Provider Directory
National Provider DirectoryLocations
1241 Volunteer Pkwy
Ste 400
Bristol, TN 37620
Phone (423) 573-7626
Practitioners & affiliated clinicians
Practitioners 7
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.
-
- Speech-Language Pathologist
- Bristol, TN
- NPI 1982533006
-
- Occupational Therapist
- Bristol, TN
- NPI 1619834959
-
- Speech-Language Pathologist
- Monroe, NC
- NPI 1134725344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672790400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672790400000",
"number": "1063125094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 PENDLETON PL",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376642169",
"telephone_number": "423-736-7369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1241 VOLUNTEER PKWY STE 400",
"city": "BRISTOL",
"state": "TN",
"postal_code": "376204635",
"telephone_number": "910-818-0977"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "READY SET GROW PEDIATRIC THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-04",
"last_updated": "2023-01-04",
"certification_date": "2023-01-04",
"status": "A",
"authorized_official_last_name": "DENISON",
"authorized_official_first_name": "SHALI",
"authorized_official_middle_name": "NICOLE",
"authorized_official_title_or_position": "CLINICAL DIRECTOR/OT",
"authorized_official_telephone_number": "423-736-7369",
"authorized_official_credential": "OTR/L"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bristol, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.