Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Homegrown Pediatric Therapies LLC

Organization Occupational Therapy Assistant · NPI 1992690101

Homegrown Pediatric Therapies LLC is an Occupational Therapy Assistant in Idaho Falls, Idaho. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
7
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8000 S 55th W
Idaho Falls, ID 83402-5733
Phone: (208) 613-7361
Fax: (843) 892-8444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Occupational Therapy Assistant Taxonomy 224Z00000X
Pediatric Physical Therapist Taxonomy 2251P0200X
Physical Therapy Assistant Taxonomy 225200000X
Occupational Therapist Taxonomy 225X00000X
Speech-Language Assistant Taxonomy 2355S0801X
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1992690101
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationHomegrown Pediatric Therapies LLC
Authorized official Ross Gardner — Owner, Physical Therapist · (208) 613-7361
NPI enumeratedJune 9, 2025
Last updated in NPPESJune 24, 2025
Certification dateJune 24, 2025
Mailing address8000 S 55th W, Idaho Falls, ID 83402-5733

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