Provider Demographics
| NPI: | 1568926806 |
|---|---|
| Name: | GROWING IN MOTION |
| Entity type: | Organization |
| Organization Name: | GROWING IN MOTION |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | OWNER |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | KEITH |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | PARKER |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | MOT, OTR/L |
| Authorized Official - Phone: | 302-690-6993 |
| Mailing Address - Street 1: | 1926 MARKET ST |
| Mailing Address - Street 2: | |
| Mailing Address - City: | CAMP HILL |
| Mailing Address - State: | PA |
| Mailing Address - Zip Code: | 17011-4701 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 717-506-5668 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 1926 MARKET ST |
| Practice Address - Street 2: | |
| Practice Address - City: | CAMP HILL |
| Practice Address - State: | PA |
| Practice Address - Zip Code: | 17011-4701 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 717-506-5668 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2019-01-30 |
| Last Update Date: | 2021-12-01 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Group - Multi-Specialty | |
| No | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health | Group - Multi-Specialty |
| No | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | Professional | Group - Multi-Specialty |
| No | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | Clinical | Group - Multi-Specialty |
| No | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Multi-Specialty | |
| No | 2251P0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Pediatrics | Group - Multi-Specialty |
| No | 225XF0002X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Feeding, Eating & Swallowing | Group - Multi-Specialty |
| No | 225XP0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Pediatrics | Group - Multi-Specialty |
| No | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | Group - Multi-Specialty |