Organization Active NPI

Kaufman Therapy Services, LLC

  • Early Intervention Provider Agency
  • Blythewood, SC
National Provider Identifier
1326229576
Registry record updated Jan 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
2864 Issued in SC
Legal business name
KAUFMAN THERAPY SERVICES, LLC
Practice address
105 Fox Hill Dr
Blythewood, SC 29016-8741
Phone
(803) 530-2214
Fax
(803) 788-4715
NPI assigned
Nov 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2009

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

Authorized official

Name
Susan Smith Kaufman, MA CCC-SLPNPI 1760529614
Title
Owner
Phone
(803) 530-2214

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 2864 SC Primary

Addresses

Primary practice location

105 Fox Hill Dr
Blythewood, SC 29016-8741

Mailing address

105 Fox Hill Dr
Blythewood, SC 29016-8741
Phone (803) 530-2214

Other identifiers 1

IdentifierTypeStateIssuer
GP3803MedicaidSC

Other names 1

  • Rehab Professionals Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233187200000",
    "number": "1326229576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 FOX HILL DR",
            "city": "BLYTHEWOOD",
            "state": "SC",
            "postal_code": "290168741",
            "telephone_number": "803-530-2214",
            "fax_number": "803-788-4715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 FOX HILL DR",
            "city": "BLYTHEWOOD",
            "state": "SC",
            "postal_code": "290168741",
            "telephone_number": "803-530-2214",
            "fax_number": "803-788-4715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAUFMAN THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2009-01-29",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "SMITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-530-2214",
        "authorized_official_credential": "MA CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "SC",
            "license": "2864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3803",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rehab Professionals",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Blythewood, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2009; 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.