Organization Active NPI

Growing Forward Therapy

  • Home Health Agency
  • Mesa, AZ
National Provider Identifier
1417595133
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GROWING FORWARD THERAPY
Practice address
3516 N Ramada
Mesa, AZ 85215-0759
Phone
(480) 377-4393
NPI assigned
Dec 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

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

Authorized official

Name
Chelsea Smith, MOT, OTR/L
Title
Owner, Occupational Therapist
Phone
(480) 377-4393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3516 N Ramada
Mesa, AZ 85215-0759

Mailing address

3516 N Ramada
Mesa, AZ 85215-0759
Phone (480) 377-4393

Other identifiers 1

IdentifierTypeStateIssuer
1801204243MedicaidAZ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address chelsea@growingforwardtherapy.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576108800000",
    "number": "1417595133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3516 N RAMADA",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852150759",
            "telephone_number": "480-377-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3516 N RAMADA",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852150759",
            "telephone_number": "480-377-4393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWING FORWARD THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-12",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_title_or_position": "OWNER, OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "480-377-4393",
        "authorized_official_credential": "MOT,  OTR/L"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801204243",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chelsea@growingforwardtherapy.com",
            "affiliation": "N",
            "endpointDescription": "HIPPA Compliant",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3516 N Ramada",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852150759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; 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.