Growing Space LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

GROWING SPACE LLC

Practice address

3940 S 79TH Dr
Phoenix, AZ 85043-1694

Phone

(480) 347-8265

NPI assigned

Jul 22, 2020

Organization subpart

No

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

Authorized official

Name

Journe Domek, OTLNPI 1669039160

Title

Occupational Therapist

Phone

(480) 347-8265

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.

• Journe Domek, OTR/L

  • Occupational Therapist
  • Goodyear, AZ
  • NPI 1669039160
  NPD Authorized official

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595376000000",
    "number": "1285242560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3940 S 79TH DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850431694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3940 S 79TH DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850431694",
            "telephone_number": "480-347-8265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWING SPACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A",
        "authorized_official_last_name": "DOMEK",
        "authorized_official_first_name": "JOURNE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "480-347-8265",
        "authorized_official_credential": "OTL"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grow and Thrive Today
• Grow Out Loud LLC
• Grow Professional Counseling Services LLC
• Growing a Bonsai LLC
• Growing Expectations Midwifery and Healthcare, PLLC
• Growth Behavioral Treatment Center LLC
• Growth Space, PLLC
• Chrisine Petrus Grubb, PH.D.
• Gwen Robin Gruber, LCSW
• David Bruce Grubler, DDS

• Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.