Healthcare Provider Details

I. General information

NPI: 1558201962
Provider Name (Legal Business Name): GROWING GAINS OT, PT, SLP PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

94 9TH ST STE 218
BROOKLYN NY
11215-3156
US

IV. Provider business mailing address

160 W 66TH ST APT 19H
NEW YORK NY
10023-6557
US

V. Phone/Fax

Practice location:
  • Phone: 718-750-8478
  • Fax:
Mailing address:
  • Phone: 646-655-7434
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINE ELIZABETH BEAVERS
Title or Position: MANAGING MEMBER
Credential: PT, DPT
Phone: 646-907-9795