Organization Active NPI

Lets Grow Pediatrics LLC

  • Pediatric Physical Therapist
  • Edmond, OK
National Provider Identifier
1538895875
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
Legal business name
LETS GROW PEDIATRICS LLC
Practice address
15121 Traditions Blvd
Edmond, OK 73013
Phone
(918) 855-8844
NPI assigned
Jul 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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

Authorized official

Name
Abby Layne Jones, DPT, PCSNPI 1053877670
Title
DPT., Owner, Authorized Official
Phone
(918) 855-8844

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)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251P0200X Primary

Addresses

Primary practice location

15121 Traditions Blvd
Edmond, OK 73013

Mailing address

15121 Traditions Blvd
Edmond, OK 73013

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658966400000",
    "number": "1538895875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15121 TRADITIONS BLVD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "73013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15121 TRADITIONS BLVD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "73013",
            "telephone_number": "918-855-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LETS GROW PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-28",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-19",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ABBY",
        "authorized_official_middle_name": "LAYNE",
        "authorized_official_title_or_position": "DPT., OWNER, AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "918-855-8844",
        "authorized_official_credential": "DPT, PCS"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; 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.