Active NPI
Stepping Stones Pediatric Therapy Inc
- Physical Therapist
- Lake Wylie, SC
National Provider Identifier
1386944106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5372
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jill Renee Winter
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5372 | SC | Primary |
| Occupational Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TH1740 | Medicaid | SC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Lake Wylie, SC
- NPI 1982781746
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.