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
—
—
225100000X
Physical Therapist
Primary
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
03/06/2023
Last updated
07/01/2025
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