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Organization
HOMEGROWN PEDIATRIC THERAPIES LLC
Active
Organization
HOMEGROWN PEDIATRIC THERAPIES LLC
Active
Other names
HomeGrown PT
Organization subpart
No
Provider details
NPI number
Authorized official
ROSS GARDNER PT, DPT (OWNER, PHYSICAL THERAPIST)
(208) 613-7361
Entity
Organization
Contact information
Practice address
201 SIGMA DRIVE, SUITE 300, SUMMERVILLE, SC 29486-7722
(208) 613-7361
(843) 892-8444
Mailing address
201 SIGMA DRIVE, SUITE 300, SUMMERVILLE, SC 29486-7722
(208) 613-7361
(843) 892-8444
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
NULL
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
2251P0200X
Pediatric Physical Therapist
—
NULL
2251P0200X
Pediatric Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
NULL
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
NULL
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
03/06/2023
Last updated
07/01/2025
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