Active NPI
Baby Steps, LLC
- Physical Therapy Clinic/Center
- Charlotte, NC
National Provider Identifier
1871182345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- BABY STEPS, LLC
- Practice address
- 3254 Pendleton Ave
Charlotte, NC 28210-4708 - Phone
- (980) 585-9950
- Fax
- (704) 981-6178
- NPI assigned
- Jan 11, 2021
- 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
- Jennifer Renee Dicicco, DPT
- Title
- Doctor of Physical Therapy
- Phone
- (980) 585-9950
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
3254 Pendleton Ave
Charlotte, NC 28210-4708
Mailing address
3254 Pendleton Ave
Charlotte, NC 28210-4708
Phone (571) 244-2220
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 125584330 | Other | NC | INDIVIDUAL NPI 1 |
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.
-
- Pediatric Physical Therapist
- Charlotte, NC
- NPI 1255584330
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610323200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1610323200000",
"number": "1871182345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3254 PENDLETON AVE",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282104708",
"telephone_number": "571-244-2220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3254 PENDLETON AVE",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282104708",
"telephone_number": "980-585-9950",
"fax_number": "704-981-6178"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BABY STEPS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-11",
"last_updated": "2021-01-11",
"certification_date": "2021-01-07",
"status": "A",
"authorized_official_last_name": "DICICCO",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "RENEE",
"authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY",
"authorized_official_telephone_number": "980-585-9950",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI 1",
"identifier": "125584330",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.