GROW PEDIATRIC THERAPY CORNER PLLC NPI 1033985593

NPI Information

  • NPI: 1033985593
  • Provider Name: GROW PEDIATRIC THERAPY CORNER, PLLC
  • Classification: Speech-Language Pathologist - 235Z00000X
  • Entity Type: Organization
  • Address: 920 S SPRING ST
    SPRINGFIELD, IL
    ZIP 62704
  • Phone: (708) 362-9839

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NPI Details

GROW PEDIATRIC THERAPY CORNER, PLLC is a speech language pathologist in Springfield, IL. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. GROW PEDIATRIC THERAPY CORNER, PLLC NPI is 1033985593. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

920 S SPRING ST
SPRINGFIELD, IL
ZIP 62704-725
Phone: (708) 362-9839

The provider's authorized official is Daj'za Mitchell .
The authorized official title is Owner, Speech-language Pathologist and has the following contact phone number (708) 362-9839.

The enumeration date for this NPI number is 11/27/2023 and was last updated on 11/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103K00000XBehavior AnalystNo
2106E00000XAssistant Behavior AnalystNo
3106S00000XBehavior TechnicianNo
4222Q00000XDevelopmental TherapistNo
5224Z00000XOccupational Therapy AssistantNo
62251P0200XPhysical TherapistPediatricsNo
7225200000XPhysical Therapy AssistantNo
8225A00000XMusic TherapistNo
9225X00000XOccupational TherapistNo
10225XF0002XOccupational TherapistFeeding, Eating & SwallowingNo
11231H00000XAudiologistNo
122355S0801XSpecialist/TechnologistSpeech-Language AssistantNo
13261QA3000XClinic/CenterAugmentative CommunicationNo
14235Z00000XSpeech-Language PathologistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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