Groundworks Pediatric Therapy LLC

Primary specialty

Feeding, Eating & Swallowing Occupational TherapistTaxonomy code 225XF0002X

Legal business name

GROUNDWORKS PEDIATRIC THERAPY LLC

Practice address

11420 Kestrel CT
Evansville, IN 47725-9796

Phone

(812) 449-6511

NPI assigned

Oct 26, 2020

Organization subpart

No

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

Authorized official

Name

Erica Jones, MS, OTR/L, CLCNPI 1396078614

Title

Owner

Phone

(812) 449-6511

Specialties & licenses 2

Addresses

Practitioners 2

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

• Erica Jones, MS, OTR/L

  • Physical Rehabilitation Occupational Therapist
  • Evansville, IN
  • NPI 1396078614
  NPD Authorized official
• Kaitlin Paige Masterson, MS, OTR/L

  • Occupational Therapist
  • Evansville, IN
  • NPI 1881287746
  NPD (past)

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

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603670400000",
    "number": "1689273195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11420 KESTREL CT",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477259796",
            "telephone_number": "812-449-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11420 KESTREL CT",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477259796",
            "telephone_number": "812-449-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROUNDWORKS PEDIATRIC THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-26",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-449-6511",
        "authorized_official_credential": "MS, OTR/L, CLC"
    },
    "taxonomies": [
        {
            "code": "225XF0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Feeding, Eating & Swallowing",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Gross, CLC
• Craig Matthew Gross, L.A.T., A.T.C.,CPED
• Marsha Gross, RN
• Darla R Grossman, MD
• Grounded Growth Counseling and Consulting, LLC
• Mercedes Kate Grove, PHARMD
• Ariana Groves
• Donna D Groves, MSW, LCSW
• Growing Years Rehab Services Inc
• Eleanor Elizabeth Grunwald, M.A.,FAAA,CCC-A

• Occupational Therapist in Evansville, IN
• Providers in Evansville, IN by specialty
• Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.