Active NPI
Grow Strong Pediatric Therapy LLC
- Pediatric Physical Therapist
- Jacksonville, FL
National Provider Identifier
1245911361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- Legal business name
- GROW STRONG PEDIATRIC THERAPY LLC
- Practice address
- 4356 Olde Pine LN
Jacksonville, FL 32217-4718 - Phone
- (863) 370-3481
- NPI assigned
- Jul 31, 2023
- Last updated
- Jul 31, 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
- Erin Whitmarsh, PT, DPT, PCS
- Title
- Founder
- Phone
- (963) 370-3481
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | NU | Primary |
Addresses
Primary practice location
4356 Olde Pine LN
Jacksonville, FL 32217-4718
Mailing address
4356 Olde Pine LN
Jacksonville, FL 32217-4718
Phone (863) 370-3481
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690761600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1690761600000",
"number": "1245911361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4356 OLDE PINE LN",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322174718",
"telephone_number": "863-370-3481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4356 OLDE PINE LN",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322174718",
"telephone_number": "863-370-3481"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GROW STRONG PEDIATRIC THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-31",
"last_updated": "2023-07-31",
"certification_date": "2023-07-31",
"status": "A",
"authorized_official_last_name": "WHITMARSH",
"authorized_official_first_name": "ERIN",
"authorized_official_title_or_position": "FOUNDER",
"authorized_official_telephone_number": "963-370-3481",
"authorized_official_credential": "PT, DPT, PCS"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.