CAROLINA KIDS THERAPEUTIC INTERVENTIONS, LLC (NPI# 1578746764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578746764 |
Entity Type | Organization |
Organization Name | CAROLINA KIDS THERAPEUTIC INTERVENTIONS, LLC |
Other Organization Name | CAROLINA KIDS |
Practice Address |
454 Bookman Mill Rd Irmo SC 29063-7946 |
Mailing Address |
Po Box 225 Columbia SC 29202-0225 |
Practice Telephone | 8037679737 |
Practice Fax Number | 8037496932 |
Mailing Telephone | 8037679737 |
Mailing Fax Number | 8037496932 |
Enumeration Date | 2007-12-11 |
Last Update Date | 2009-03-22 |
Authorized Official Name | KRISTINE W HAYNES (OWNER) |
Authorized Official Telephone | 8037679737 |
Authorized Official Credential | DPT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
5406 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Other Name | Type Code |
---|---|
Carolina Kids | Other Name - Individual/Organization |
Street Address |
454 BOOKMAN MILL RD |
City | IRMO |
State | SC |
Zip Code | 29063-7946 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720603640 | Daniel Witcher | Counselor | 1180 Columbia Avenue, Suite 203, Irmo, SC 29063 | 2020-06-16 |
1710512140 | Arie Anew Services Incorporated | Psychologist | 7803 St. Andrews Road, C5, Irmo, SC 29063 | 2020-03-05 |
1366922296 | Jennie C Beym | Speech-Language Pathologist | 7 Tip Top Court, Irmo, SC 29063 | 2018-08-20 |
1295214088 | The Well LLC | Massage Therapist | 1720 Dutch Fork Rd., Irmo, SC 29063 | 2018-08-13 |
1699268821 | Shannon Marie Kelly | Dentist | 200 N Royal Tower Dr, Irmo, SC 29063 | 2018-06-12 |
1497243174 | Anthony Batiste Thompson Jr. | Behavior Technician | 137 Chapelwhite Road, Irmo, SC 29063 | 2018-04-27 |
1578076022 | Demario Sawyer Sr | Ambulance | 107 N Royal Tower Dr Ste C, Irmo, SC 29063 | 2017-11-07 |
1306365713 | Dreher Shuler | Student in an Organized Health Care Education/Training Program | 205 River Creek Drive, Irmo, SC 29063 | 2017-09-18 |
1053833442 | Tania Rodriguez | Social Worker | 30 Ash Court, Irmo, SC 29063 | 2017-07-07 |
1598294944 | Ashley Elaine Bradley | Home Health | 120 Stockland Rd, Irmo, SC 29063 | 2017-06-08 |
Find all providers in zip 29063 |
Taxonomy Code | 2251P0200X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114559192 | Stephen Bendziewicz | Physical Therapist | 206 Blackstone Dr, Irmo, SC 29063-7838 | 2020-02-07 |
1881032548 | Janet Wood Barnes | Physical Therapist | 155 Watersong Ln, Irmo, SC 29063-7610 | 2013-06-04 |
1215184056 | Kelly Mack | Physical Therapist | 107 Holly Creek Dr, Irmo, SC 29063-8918 | 2008-08-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285244756 | Cathy Schreiber | Physical Therapist | 2387 Lantern St, Charleston, SC 29414-4850 | 2020-08-08 |
1982221016 | Milestones & Movement Pediatric Physical Therapy, LLC | Physical Therapist | 206 Calm Water Way, Summerville, SC 29486-6902 | 2020-07-06 |
1811467939 | Upstate Therapy Works | Physical Therapist | 256 Dellwood Dr, Spartanburg, SC 29301-5023 | 2018-12-01 |
1518433028 | Kimberly (kim) Fowler King | Physical Therapist | 334 Monroe Dr, Piedmont, SC 29673-9731 | 2018-10-23 |
1346725306 | Walker Physical Therapy & Wellness, LLC | Physical Therapist | 4720 Grey Moss Dr, Clover, SC 29710-8706 | 2018-09-26 |
1104313261 | Purposeful Play Pediatric Physical Therapy, LLC | Physical Therapist | 17 Plantation Cir, Summerville, SC 29485-3474 | 2018-04-15 |
1649785270 | Jaunitha Magwood | Physical Therapist | 124 Lisa Dr, Summerville, SC 29485-5307 | 2017-12-05 |
1629587191 | Playxcience LLC | Physical Therapist | 2023 Taney Way, Indian Land, SC 29707-7488 | 2017-09-27 |
1598281255 | Developmental Center for Exceptional Children | Physical Therapist | 1100 West Franklin Street, Anderson, SC 29624 | 2017-08-15 |
1871031641 | Spark Therapy Group LLC | Physical Therapist | 9 Drexel Ave, Greenville, SC 29615-1407 | 2017-02-01 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.