Provider Demographics
NPI:1588122782
Name:SPROUT THERAPY COLLECTIVE LLC
Entity type:Organization
Organization Name:SPROUT THERAPY COLLECTIVE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHLEIGH
Authorized Official - Middle Name:R
Authorized Official - Last Name:TOY
Authorized Official - Suffix:
Authorized Official - Credentials:OTD, MS, OTR/L
Authorized Official - Phone:859-771-3232
Mailing Address - Street 1:518 ALLIANCE DR
Mailing Address - Street 2:
Mailing Address - City:MT STERLING
Mailing Address - State:KY
Mailing Address - Zip Code:40353-1707
Mailing Address - Country:US
Mailing Address - Phone:859-771-3232
Mailing Address - Fax:844-216-8313
Practice Address - Street 1:518 ALLIANCE DR
Practice Address - Street 2:
Practice Address - City:MT STERLING
Practice Address - State:KY
Practice Address - Zip Code:40353-1707
Practice Address - Country:US
Practice Address - Phone:859-771-3232
Practice Address - Fax:844-216-8313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-06
Last Update Date:2020-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Yes252Y00000XAgenciesEarly Intervention Provider AgencyGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty