Roots Pediatric Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ROOTS PEDIATRIC PHYSICAL THERAPY, LLC

Practice address

3083 Vincent Astor Drive
John's Island, SC 29455-8279

Phone

(336) 288-6330

NPI assigned

Aug 29, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Kelly Boblett Griffith, PT

Title

Physical Therapist

Phone

(336) 288-6330

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1724889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747612800000",
    "number": "1679307748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3083 VINCENT ASTOR DRIVE",
            "city": "JOHN'S ISLAND",
            "state": "SC",
            "postal_code": "294558279",
            "telephone_number": "336-288-6330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3083 VINCENT ASTOR DRIVE",
            "city": "JOHN'S ISLAND",
            "state": "SC",
            "postal_code": "294558279",
            "telephone_number": "336-288-6330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTS PEDIATRIC PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-29",
        "last_updated": "2025-05-19",
        "status": "A",
        "authorized_official_last_name": "GRIFFITH",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "BOBLETT",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "336-288-6330",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TH5083",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John S Rhodes, RN
• Lewis Stephen Rice-Boyd, DNP, APRN, PMHNP-BC
• Richey Counseling LLC
• Brittney Rodriguez, MD
• Cori Lyn Rogers, MSN, RN, CPNP
• Roper Saint Francis Physicians Network (Roper St. Francis Physician Partners Colorectal Surgery)
• Roper Saint Francis Physicians Network (Roper St. Francis Physician Partners Primary Care)
• Roper Saint Francis Physicians Network (Roper St. Francis Physician Partners Primary Care)
• Roper Saint Francis Physicians Network (Roper St. Francis Physician Partners Signature Primary Care)
• Roper Saint Francis Physicians Network (Roper St. Francis Express Care)

• Physical Therapist in Johns Island, SC
• Providers in Johns Island, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.