Organization Active NPI

Compleat Rehab & Sports Therapy Center

Doing business as Compleat Kidz

  • Community/Behavioral Health Agency
  • Rock Hill, SC
National Provider Identifier
1053922856
Registry record updated Aug 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COMPLEAT REHAB & SPORTS THERAPY CENTER
Doing business as
Compleat Kidz
Practice address
197 Piedmont Blvd Ste 205
Rock Hill, SC 29732-1846
Phone
(704) 747-2409
NPI assigned
Aug 14, 2020
Last updated
Aug 14, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
COMPLEAT REHAB & SPORTS THERAPY CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 14, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kristian Rhyne
Title
Controller
Phone
(704) 747-2409

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

197 Piedmont Blvd Ste 205
Rock Hill, SC 29732-1846

Mailing address

2675 Court Dr
Gastonia, NC 28054-1478
Phone (704) 747-2409

Other names 1

  • Compleat Kidz Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Comprehab LLC5 organizations share this tax ID, including this one
Part of
Comprehab LLC

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

197 Piedmont Blvd
Ste 205
Rock Hill, SC 29732
Phone (803) 327-1654

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597363200000",
    "number": "1053922856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 COURT DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280541478",
            "telephone_number": "704-747-2409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 PIEDMONT BLVD STE 205",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321846",
            "telephone_number": "704-747-2409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLEAT REHAB & SPORTS THERAPY CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMPLEAT REHAB & SPORTS THERAPY CENTER",
        "enumeration_date": "2020-08-14",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A",
        "authorized_official_last_name": "RHYNE",
        "authorized_official_first_name": "KRISTIAN",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "704-747-2409"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Compleat Kidz",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.