Sprout Pediatric Therapy, Llc

LBN: Sprout Pediatric Therapy, Llc
Sprout Pediatric Therapy, Llc is an health care organization with primary practice located at 108 Serenity Way , Madison MS 39110-6992. The organization recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty. Sprout Pediatric Therapy, Llc can be contacted via phone (601) 831-2360, or through Custer, Emily R via phone (601) 831-2360.

Contact Information

Primary practice address
108 Serenity Way Madison MS 39110-6992
Phone: (601) 831-2360
Fax: (601) 510-9735
Website:
Map and Directions
Authorized official contact:
Name: Custer, Emily R MS,PT
Phone: (601) 831-2360

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT3255 Mississippi
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1770060964
LBN Legal business name Sprout Pediatric Therapy, Llc
DBA Doing business as
Authorized official Custer, Emily R MS,PT
Entity Organization
Organization subpart 1 No
Enumeration date Jul 20th, 2018
Last updated Jul 20th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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