NPIMap

Organization Active NPI

Kid Builders LLC

  • Physical Therapist
  • Mauldin, SC
National Provider Identifier
1225434939
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7537 Issued in SC
Legal business name
KID BUILDERS LLC
Practice address
104 Renaissance Cir
Mauldin, SC 29662-2455
Phone
(864) 670-4436
Fax
(864) 438-1149
NPI assigned
Nov 6, 2014
Last updated
Nov 6, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2014

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

Authorized official

Name
Tabitha Phillips, MA CCC-SLP
Title
Owner
Phone
(864) 670-4436

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 7537 SC Primary

Addresses

Primary practice location

104 Renaissance Cir
Mauldin, SC 29662-2455

Mailing address

104 Renaissance Cir
Mauldin, SC 29662-2455
Phone (864) 670-4436

National Provider Directory

National Provider Directory
Tax ID family
Kid Builders LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

104 Renaissance Cir
Mauldin, SC 29662
Phone (864) 431-2037

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415232000000",
    "number": "1225434939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 RENAISSANCE CIR",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296622455",
            "telephone_number": "864-670-4436",
            "fax_number": "864-438-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 RENAISSANCE CIR",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296622455",
            "telephone_number": "864-670-4436",
            "fax_number": "864-438-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KID BUILDERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-06",
        "last_updated": "2014-11-06",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "TABITHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-670-4436",
        "authorized_official_credential": "MA CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "7537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mauldin, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; 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.