Sprout Pediatric Therapy Services
LBN: Sprout Pediatric Therapy Services
Sprout Pediatric Therapy Services is an health care organization with primary practice located at 3498 450Th St , Orange City IA 51041-7506. The organization recently has 2 registered licenses in different health care specialties including 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 / Occupational Therapist is the primary health care specialty.
Sprout Pediatric Therapy Services can be contacted via phone (712) 737-9065, or through Van Bruggen, Elizabeth Ann via phone (712) 441-1710.
Contact Information
Primary practice address
3498 450Th St
Orange City IA 51041-7506
Phone: (712) 737-9065
Fax: (712) 737-9064
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 001958 | Iowa |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X |
Profile Details
| NPI number | 1487006706 |
|---|---|
| LBN Legal business name | Sprout Pediatric Therapy Services |
| DBA Doing business as | |
| Authorized official | Van Bruggen, Elizabeth Ann MS IN OT |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 11th, 2016 |
| Last updated | Jun 5th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487006706 | NPPES |
| Iowa | MEDICAID | 0170200 |
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