Provider Demographics
NPI:1043853500
Name:THE GROUNDINGS BY THE SPRINGS
Entity type:Organization
Organization Name:THE GROUNDINGS BY THE SPRINGS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WITTSCHEN-SPRING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-524-7390
Mailing Address - Street 1:4004 COLEMAN RD
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34293-7105
Mailing Address - Country:US
Mailing Address - Phone:941-524-7390
Mailing Address - Fax:
Practice Address - Street 1:63 SARASOTA CENTER BLVD STE 101
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34240-9385
Practice Address - Country:US
Practice Address - Phone:941-379-3725
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-28
Last Update Date:2019-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantGroup - Single Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty