Organization Active NPI

Stepping Stones Pediatric Therapy Inc

  • Physical Therapist
  • Lake Wylie, SC
National Provider Identifier
1386944106
Registry record updated Mar 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5372 Issued in SC
Legal business name
STEPPING STONES PEDIATRIC THERAPY INC
Practice address
3009 Mason CT
Lake Wylie, SC 29710-8106
Phone
(803) 631-5485
Fax
(803) 631-5483
NPI assigned
Oct 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2011

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

Authorized official

Name
Mrs. Jill Renee WinterNPI 1982781746
Title
Physical Therapist
Phone
(518) 461-1070

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 5372 SC Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 3233 SC

Addresses

Primary practice location

3009 Mason CT
Lake Wylie, SC 29710-8106

Mailing address

3009 Mason CT
Lake Wylie, SC 29710-8106
Phone (803) 631-5485

Other identifiers 1

IdentifierTypeStateIssuer
TH1740MedicaidSC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1288051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299715200000",
    "number": "1386944106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3009 MASON CT",
            "city": "LAKE WYLIE",
            "state": "SC",
            "postal_code": "297108106",
            "telephone_number": "803-631-5485",
            "fax_number": "803-631-5483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 MASON CT",
            "city": "LAKE WYLIE",
            "state": "SC",
            "postal_code": "297108106",
            "telephone_number": "803-631-5485",
            "fax_number": "803-631-5483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPPING STONES PEDIATRIC THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-26",
        "last_updated": "2011-03-10",
        "status": "A",
        "authorized_official_last_name": "WINTER",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "518-461-1070",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "5372",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "3233",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TH1740",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Wylie, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; 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.