MEDICARE: READY SET GROW PEDIATRIC THERAPY 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	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1205656733
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	READY SET GROW PEDIATRIC THERAPY LLC

Provider Business Mailing Address
First Line	:	406 HAWTHORN HILL DR
Second Line	:
City	:	CANONSBURG
State	:	PA
Zip	:	15317-2862
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	406 HAWTHORN HILL DR
Second Line	:
City	:	CANONSBURG
State	:	PA
Zip	:	15317-2862
Country	:	US
Telephone Number	:	412-789-5759
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	GRACE IGNATZ
Credential	:
Telephone Number	:	412-789-5759

Provider Enumeration Date	:	10/10/2024
Last Update Date	:	03/10/2026

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