# INTEGRATED PEDIATRIC THERAPIES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** INTEGRATED PEDIATRIC THERAPIES LLC
- **Other names:** Kids at play
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1013426980
- **Legal business name:** INTEGRATED PEDIATRIC THERAPIES LLC
- **Authorized official:** MR. JEFFREY W WICKLINE OTR (OWNER AND THERAPIST)
- **Authorized official phone:** (203) 217-9366

## Contact information

- **Practice address:** 138 MEMORY PLZ, WHITEVILLE, NC 28472-2640
- **Practice address phone:** (910) 393-9749
- **Practice address fax:** (910) 250-1244
- **Mailing address:** 3260 OCEANIC BAY DR, SOUTHPORT, NC 28461-6401
- **Mailing address phone:** (203) 217-9366
- **Mailing address fax:** (910) 393-9749

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 251E00000X | Home Health Agency | 1758 | CT | — |
| 251E00000X | Home Health Agency | 9721 | NC | — |

## Other

- **Enumeration date:** 09/23/2017
- **Last updated:** 04/17/2025