MEDICARE: LETS GROW THERAPY SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	252Y00000X	Early Intervention Provider Agency

General Provider Information

NPI Number	:	1588516025
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LETS GROW THERAPY SERVICES LLC

Provider Business Mailing Address
First Line	:	7612 LIMEBURY CT
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33625-3161
Country	:	US
Telephone Number	:	813-316-5274
Fax Number	:

Provider Business Practice Location Address
First Line	:	7612 LIMEBURY CT
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33625-3161
Country	:	US
Telephone Number	:	813-316-5274
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DEVONI N GOMEZ
Credential	:
Telephone Number	:	813-316-5274

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

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