Homegrown Pediatric Therapy, LLC
Organization Active NPI Pediatric Occupational Therapist · Wartburg, TN
NPI 1871107359 · NPPES record last updated Sep 2, 2020
Key facts
- NPI
- 1871107359
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatric Occupational Therapist 225XP0200X
- Legal business name
- HOMEGROWN PEDIATRIC THERAPY, LLC
- Practice address
- 116 Cumberland St.
Wartburg, TN 37887-3788 - Phone
- (423) 215-6520
- NPI assigned
- Sep 2, 2020
- Organization subpart
- No
Authorized official
- Name
- Tiffany Hawn
- Title
- Co-Owner
- Phone
- (423) 215-6520
Practitioners 2
-
Tiffany Hawn, COTA/L
-
Kayla Renea Ruppe, OTA/L
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist |
225XP0200X | Yes |
Addresses
Primary practice location
116 Cumberland St.
Wartburg, TN 37887-3788
Mailing address
242 Cumberland Mountain LN
Sunbright, TN 37872-2810
Phone (423) 215-6520
Other providers in Wartburg, TN
- Tiffany Hawn
- Beverly D Hedgepeth
- Dori Hiatt
- Ronald Dale Higgs
- Home Comfort Medical Equipment
- Jennifer L Hoskins
- Hot Rod Shannon
- Hot Rod Shannon, Inc.
- Benjamin R Howard
- Robert Allan Hysell Jr.
All providers in Wartburg, TN · Pediatric Occupational Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.