EXCEL GROWTH THERAPIES LLC NPI 1073788931

NPI Information

NPI: 1073788931
Provider Name: EXCEL GROWTH THERAPIES, LLC
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization
Address:
10105 S FULTON DR
FREDERICKSBURG, VA
ZIP 22408
Phone: (571) 931-7420
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EXCEL GROWTH THERAPIES, LLC is a day training developmentally disabled services in Fredericksburg, VA. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. EXCEL GROWTH THERAPIES, LLC NPI is 1073788931. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10105 S FULTON DR
FREDERICKSBURG, VA
ZIP 22408-260
Phone: (571) 931-7420
Fax: (877) 771-3419

The provider's authorized official is Deniece Maragrita' Payne .
The authorized official title is Director and has the following contact phone number (571) 330-8120.

The enumeration date for this NPI number is 4/22/2008 and was last updated on 6/11/2019.

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
1	224Z00000X	Occupational Therapy Assistant			VIRGINIA	No
2	225100000X	Physical Therapist		2305204162	VIRGINIA	No
3	225200000X	Physical Therapy Assistant		2306000431	VIRGINIA	No
4	225400000X	Rehabilitation Practitioner			VIRGINIA	No
5	225600000X	Dance Therapist			VIRGINIA	No
6	225CA2400X	Rehabilitation Counselor	Assistive Technology Practitioner			No
7	225CA2500X	Rehabilitation Counselor	Assistive Technology Supplier			No
8	225X00000X	Occupational Therapist				No
9	235500000X	Specialist/Technologist			VIRGINIA	No
10	2355S0801X	Specialist/Technologist	Speech-Language Assistant			No
11	235Z00000X	Speech-Language Pathologist			VIRGINIA	No
12	252Y00000X	Early Intervention Provider Agency				No
13	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			No
14	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment			No
15	251C00000X	Day Training, Developmentally Disabled Services				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1073788931	MEDICAID	VIRGINIA

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: 4/28/2024

NPI Synchronization or Removal

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