Organization Active NPI

Grow Feeding Therapy Inc

  • Occupational Therapist
  • West Hollywood, CA
National Provider Identifier
1114633401
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
GROW FEEDING THERAPY INC
Practice address
922 N Croft Ave
Apt 202
West Hollywood, CA 90069
Phone
(661) 383-0606
NPI assigned
Jan 30, 2023
Last updated
Jan 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Authorized official

Name
Ms. Kristina Tanglimsamarnsuk, MS, OTR/L,SWC
Title
Vice President; Occupational Therap
Phone
(661) 383-0606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

922 N Croft Ave
Apt 202
West Hollywood, CA 90069

Mailing address

18723 Via Princessa
Unit #735
Santa Clarita, CA 91387

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1114633401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18723 VIA PRINCESSA",
            "address_2": "UNIT #735",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "91387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 N CROFT AVE",
            "address_2": "APT 202",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "90069",
            "telephone_number": "661-383-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROW FEEDING THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A",
        "authorized_official_last_name": "TANGLIMSAMARNSUK",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "VICE PRESIDENT; OCCUPATIONAL THERAP",
        "authorized_official_telephone_number": "661-383-0606",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, OTR/L,SWC"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.

Verify at the official NPI Registry.