Provider Demographics
NPI: | 1568926806 |
---|---|
Name: | GROWING IN MOTION |
Entity type: | Organization |
Organization Name: | GROWING IN MOTION |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | KEITH |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | PARKER |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MOT, OTR/L |
Authorized Official - Phone: | 302-690-6993 |
Mailing Address - Street 1: | 1926 MARKET ST |
Mailing Address - Street 2: | |
Mailing Address - City: | CAMP HILL |
Mailing Address - State: | PA |
Mailing Address - Zip Code: | 17011-4701 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 717-506-5668 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 1926 MARKET ST |
Practice Address - Street 2: | |
Practice Address - City: | CAMP HILL |
Practice Address - State: | PA |
Practice Address - Zip Code: | 17011-4701 |
Practice Address - Country: | US |
Practice Address - Phone: | 717-506-5668 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2019-01-30 |
Last Update Date: | 2021-12-01 |
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 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health | Group - Multi-Specialty |
No | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | Professional | Group - Multi-Specialty |
No | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | Clinical | Group - Multi-Specialty |
No | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Multi-Specialty | |
No | 2251P0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Pediatrics | Group - Multi-Specialty |
No | 225XF0002X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Feeding, Eating & Swallowing | Group - Multi-Specialty |
No | 225XP0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Pediatrics | Group - Multi-Specialty |
No | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | Group - Multi-Specialty |