Provider Demographics
NPI: | 1518217629 |
---|---|
Name: | READY SET GROW LLC |
Entity Type: | Organization |
Organization Name: | READY SET GROW LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | MICHELE |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | BOWMAN |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | OTR/L |
Authorized Official - Phone: | 352-650-2576 |
Mailing Address - Street 1: | 13790 RUDI LOOP |
Mailing Address - Street 2: | |
Mailing Address - City: | SPRING HILL |
Mailing Address - State: | FL |
Mailing Address - Zip Code: | 34609-7967 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 352-650-2576 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 13790 RUDI LOOP |
Practice Address - Street 2: | |
Practice Address - City: | SPRING HILL |
Practice Address - State: | FL |
Practice Address - Zip Code: | 34609-7967 |
Practice Address - Country: | US |
Practice Address - Phone: | 352-650-2576 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2012-09-16 |
Last Update Date: | 2012-09-16 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Group - Multi-Specialty | |
No | 103K00000X | Behavioral Health & Social Service Providers | Behavior Analyst | Group - Multi-Specialty | |
No | 221700000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Art Therapist | Group - Multi-Specialty | |
No | 224Z00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapy Assistant | Group - Multi-Specialty | |
No | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Multi-Specialty | |
No | 225200000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapy Assistant | Group - Multi-Specialty | |
No | 225600000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Dance Therapist | Group - Multi-Specialty | |
No | 225700000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Massage Therapist | Group - Multi-Specialty | |
No | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | Group - Multi-Specialty |