Healthcare Provider Details

I. General information

NPI: 1326967811
Provider Name (Legal Business Name): GLIDE AND GROW OT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13 BRIARWOOD RD
RUTLAND MA
01543-1753
US

IV. Provider business mailing address

13 BRIARWOOD RD
RUTLAND MA
01543-1753
US

V. Phone/Fax

Practice location:
  • Phone: 203-768-7377
  • Fax:
Mailing address:
  • Phone: 203-768-7377
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE LAPOINTE
Title or Position: OWNER/OCCUPATIONAL THERAPIST
Credential: MOT, OTR/L
Phone: 203-768-7377