Grow Pediatric Therapy, LLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

GROW PEDIATRIC THERAPY, LLC

Practice address

488 E 11TH Ave Ste LL2
Eugene, OR 97401-3601

Phone

(541) 505-8180

NPI assigned

Apr 12, 2023

Organization subpart

No

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

Authorized official

Name

Rylie A StokesNPI 1174042527

Title

Member

Phone

(406) 431-9623

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 5

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

• Rylie Stokes

  • Occupational Therapist
  • Eugene, OR
  • NPI 1174042527
  Medicare reassignment NPD Authorized official
• Anna Jones

  • Occupational Therapist
  • Eugene, OR
  • NPI 1902765027
  Medicare reassignment NPD
• Bethannie Nicole Lopez

  • Pediatric Occupational Therapist
  • Eugene, OR
  • NPI 1912859513

  Pediatrics

  Medicare reassignment NPD
• Riki Jo Unterseher, OTR/L

  • Occupational Therapist
  • Eugene, OR
  • NPI 1558940528
  Medicare reassignment NPD
• Leslie Lyeann Young, MSOT

  • Pediatric Occupational Therapist
  • Eugene, OR
  • NPI 1366008104

  Pediatrics

  Medicare reassignment NPD

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1760178776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "488 E 11TH AVE STE LL2",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013601",
            "telephone_number": "541-359-1009",
            "fax_number": "541-359-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 E 11TH AVE STE LL2",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013601",
            "telephone_number": "541-505-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROW PEDIATRIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "STOKES",
        "authorized_official_first_name": "RYLIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "406-431-9623"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sally J Grosscup, PHD
• Sean Michael Grosse, CADC-R, CRM, QMHA-R
• Ellisia Bond Grove, L.AC
• Heidi Ann Grove, LCSW
• Kathleen Grover, RDH
• Sarah Gruening
• Megan C Grugett
• Buffi Makanalani Grumbley, PTA
• Emma Grunska
• Grace Grymonpre-Dwyer, LPC

• Pediatric Occupational Therapist in Eugene, OR
• Providers in Eugene, OR by specialty
• Pediatric Occupational Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.