Step Up Pediatric Therapy LLC

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

Legal business name

STEP UP PEDIATRIC THERAPY LLC

Practice address

1750 Highway 160 W
Suite 101-175
Fort Mill, SC 29708-8009

Phone

(803) 981-4054

Fax

(803) 802-2264

NPI assigned

Feb 21, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Deborah J Roen, PTNPI 1366577678

Title

Owner

Phone

(803) 981-4054

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deborah J Roen, LPT

  • Pediatric Physical Therapist
  • Fort Mill, SC
  • NPI 1366577678

  Pediatrics

  NPD (past) Authorized official

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306981824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 HIGHWAY 160 W",
            "address_2": "SUITE 101-175",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297088009",
            "telephone_number": "803-981-4054",
            "fax_number": "803-802-2264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 HIGHWAY 160 W",
            "address_2": "SUITE 101-175",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297088009",
            "telephone_number": "803-981-4054",
            "fax_number": "803-802-2264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEP UP PEDIATRIC THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROEN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-981-4054",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia D Stacy, FNPC
• Tamikya Kayla Staley, M.A., LPCI
• Lisa Anne Starnes, LPC
• Susan Jo Start, MD
• Stateline Medical Transportation, LLC
• Heather Courtney Stephens, DPT
• Leslie Stevenson, RBT
• Jerren Keith Stines
• Martin Scott Stone, D.C.
• Dawn Strength, CHC

• Pediatric Physical Therapist in Fort Mill, SC
• Providers in Fort Mill, SC by specialty
• Pediatric Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.