Excel Growth Therapies, Llc

LBN: Excel Growth Therapies, Llc
Excel Growth Therapies, Llc is an health care organization with primary practice located at 10105 S Fulton Dr , Fredericksburg VA 22408-0260. The organization recently has 15 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Dance Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Assistive Technology Practitioner, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Assistive Technology Supplier, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Specialist/Technologist, Speech, Language and Hearing Service Providers / Speech-Language Assistant, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Agencies / Day Training, Developmentally Disabled Services, Agencies / Early Intervention Provider Agency, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Suppliers / Customized Equipment. Agencies / Day Training, Developmentally Disabled Services is the primary health care specialty. Excel Growth Therapies, Llc can be contacted via phone (571) 931-7420, or through Payne, Deniece Maragrita' via phone (571) 330-8120.

Contact Information

Primary practice address
10105 S Fulton Dr Fredericksburg VA 22408-0260
Fax: (877) 771-3419
Website:
Authorized official contact:
Name: Payne, Deniece Maragrita'

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X Virginia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2305204162 Virginia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 2306000431 Virginia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X Virginia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Dance Therapist 225600000X Virginia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Assistive Technology Practitioner 225CA2400X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Assistive Technology Supplier 225CA2500X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Speech, Language and Hearing Service Providers / Specialist/Technologist 235500000X Virginia
Speech, Language and Hearing Service Providers / Speech-Language Assistant 2355S0801X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X Virginia
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Agencies / Early Intervention Provider Agency 252Y00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Suppliers / Customized Equipment 332BC3200X

Profile Details

NPI number 1073788931
LBN Legal business name Excel Growth Therapies, Llc
DBA Doing business as
Authorized official Payne, Deniece Maragrita'
Entity Organization
Organization subpart 1 No
Enumeration date Apr 22nd, 2008
Last updated Jun 11th, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1073788931 NPPES
Virginia MEDICAID 1073788931

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