Provider Demographics
NPI:1982423588
Name:GROW AND THRIVE OT, PLLC
Entity type:Organization
Organization Name:GROW AND THRIVE OT, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OCCUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:TANYA
Authorized Official - Middle Name:
Authorized Official - Last Name:GLASS
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:775-232-1419
Mailing Address - Street 1:32141 CARDAMOM WAY
Mailing Address - Street 2:
Mailing Address - City:BULVERDE
Mailing Address - State:TX
Mailing Address - Zip Code:78163-4047
Mailing Address - Country:US
Mailing Address - Phone:210-993-5398
Mailing Address - Fax:830-310-8278
Practice Address - Street 1:32141 CARDAMOM WAY
Practice Address - Street 2:
Practice Address - City:BULVERDE
Practice Address - State:TX
Practice Address - Zip Code:78163-4047
Practice Address - Country:US
Practice Address - Phone:775-232-1419
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-09
Last Update Date:2025-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty