Compleat Kidz Pediatric Therapy

LBN: Compleat Rehab & Sports Therapy Center
Compleat Kidz Pediatric Therapy is an health care organization with primary practice located at 2675 Court Drive , Gastonia NC 28054. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Agencies / Community/Behavioral Health. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty. Compleat Rehab & Sports Therapy Center can be contacted via phone (704) 824-7800, or through Quillen, Heather via phone (704) 271-1213.

Contact Information

Primary practice address
2675 Court Drive Gastonia NC 28054
Phone: (704) 824-7800
Fax: (704) 824-7898
Website:
Map and Directions
Authorized official contact:
Name: Quillen, Heather
Phone: (704) 271-1213

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1407932775
LBN Legal business name Compleat Rehab & Sports Therapy Center
DBA Doing business as Compleat Kidz Pediatric Therapy
Authorized official Quillen, Heather
Entity Organization
Organization subpart 1 No
Enumeration date Oct 31st, 2006
Last updated Jun 20th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407932775 NPPES
South Carolina MEDICAID GP7803
South Carolina MEDICAID 720132B
South Carolina MEDICAID NPA821

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