Individual provider Active NPI

Casey Childs, LMT, MLD-C

  • Massage Therapist
  • North Charleston, SC
National Provider Identifier
1376435925
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
10912 Issued in SC
Practice address
2456 Remount Rd Ste 306B
North Charleston, SC 29406-6197
Phone
(828) 606-2917
NPI assigned
Jul 17, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 10912 SC Primary

Addresses

Primary practice location

2456 Remount Rd Ste 306B
North Charleston, SC 29406-6197

Mailing address

2456 Remount Rd Ste 306B
North Charleston, SC 29406-6197
Phone (828) 606-2917

Other practice location 1

210 Coming St Ste C
Charleston, SC 29403-5444
Phone (828) 606-2917

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10912SCMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1752710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1376435925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2456 REMOUNT RD STE 306B",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294066197",
            "telephone_number": "828-606-2917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2456 REMOUNT RD STE 306B",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294066197",
            "telephone_number": "828-606-2917"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 Coming St Ste C",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294035444",
            "country_code": "US",
            "telephone_number": "828-606-2917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHILDS",
        "first_name": "CASEY",
        "credential": "LMT, MLD-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-17",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "SC",
            "license": "10912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; 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.