COASTAL KIDS THERAPY LLC (NPI# 1730795022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730795022 |
| Entity Type | Organization |
| Organization Name | COASTAL KIDS THERAPY LLC |
| Practice Address |
237 Palmetto Walk Dr Summerville SC 29486-2708 |
| Practice Telephone | 8454941166 |
| Practice Fax Number | 8778975113 |
| Mailing Telephone | 8454941166 |
| Mailing Fax Number | 8778975113 |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2020-09-22 |
| Authorized Official Name | KRISTINA BEHRENS (OWNER) |
| Authorized Official Telephone | 8454941166 |
| Authorized Official Credential | MS,SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| Street Address |
237 PALMETTO WALK DR |
| City | SUMMERVILLE |
| State | SC |
| Zip Code | 29486-2708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952921454 | Cooper River Pediatric Therapy LLC | Speech-Language Pathologist | 119 Callibluff Dr, Summerville, SC 29486 | 2020-04-24 |
| 1750928164 | Tidewater Eyecare, LLC | Optometrist | 301 Front St., Summerville, SC 29486 | 2019-12-04 |
| 1366086621 | Tgd-summerville LLC | Dentist | 604-a Nexton Square Dr, Summerville, SC 29486 | 2019-10-30 |
| 1336783604 | Tdsp-summerville LLC | Dentist | 604-b Nexton Square Dr, Summerville, SC 29486 | 2019-10-30 |
| 1699256081 | Denise Michelle Richardson | Speech-Language Pathologist | 201 School House Ln, Summerville, SC 29486 | 2018-08-24 |
| 1497243588 | Charleston Ent Associates, LLC | Non-Pharmacy Dispensing Site | 2205 2nd Avenue, Summerville, SC 29486 | 2018-04-25 |
| 1043707557 | Seaside Family Medicine, LLC | Nurse Practitioner | 1341 College Park Rd # A, Summerville, SC 29486 | 2018-04-19 |
| 1023511144 | Grace Physical Therapy and Sports Rehab At Nexton | Clinic/Center | 5500 Front St, Suite 201, Summerville, SC 29486 | 2018-03-15 |
| 1295253086 | Dillon Robert Gregory | Specialist/Technologist | 313 Springdale Ct., Summerville, SC 29486 | 2017-09-01 |
| 1013456987 | Sfd Kids LLC | Dentist | 108 Parish Farms Drive, Summerville, SC 29486 | 2017-02-13 |
| Find all providers in zip 29486 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821605965 | Rachel Duncan | Speech-Language Pathologist | 9730 Dorchester Rd Unit 206, Summerville, SC 29485-9034 | 2020-09-23 |
| 1063020824 | Kathleen Covert | Speech-Language Pathologist | 202 Donning Dr, Summerville, SC 29483-2843 | 2020-07-17 |
| 1952921454 | Cooper River Pediatric Therapy LLC | Speech-Language Pathologist | 119 Callibluff Dr, Summerville, SC 29486 | 2020-04-24 |
| 1457982704 | Adreanna Truesdell Paschal | Speech-Language Pathologist | 1611 Farm Springs Rd, Summerville, SC 29483-0843 | 2020-01-27 |
| 1093365165 | Mandy Jackson | Speech-Language Pathologist | 108 Proprietors Ct, Summerville, SC 29485-3467 | 2019-09-19 |
| 1750930541 | Sean Lefferts | Speech-Language Pathologist | 221 Stallsville Road, Summerville, SC 29485-4934 | 2019-09-05 |
| 1366001596 | Sweetgrass Speech and Language, LLC | Speech-Language Pathologist | 104 Scott Ct, Summerville, SC 29483-3775 | 2019-06-11 |
| 1902364961 | Alison Terry Speech Services, LLC | Speech-Language Pathologist | 137 Musket Loop, Summerville, SC 29483-8985 | 2019-03-08 |
| 1699256081 | Denise Michelle Richardson | Speech-Language Pathologist | 201 School House Ln, Summerville, SC 29486 | 2018-08-24 |
| 1306325956 | Sandpiper Speech Therapy LLC | Speech-Language Pathologist | 207 Trillium Ave, Summerville, SC 29483-5564 | 2018-08-13 |
| Find all providers in SUMMERVILLE | ||||
| City | SUMMERVILLE |
| Zip Code | 29486 |
Please comment or provide details below to improve the information on COASTAL KIDS THERAPY LLC.
| 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.