Organization
KIDSPROUT THERAPY
Active
Other names
KidSprout Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
SAJINA COOPER (ADMINISTRATIVE DIRECTOR)
(919) 641-1803
Entity
Organization
Contact information
Practice address
10405 STALLION WAY, BAHAMA, NC 27503-9631
(919) 641-1803
(919) 287-2869
Mailing address
10405 STALLION WAY, BAHAMA, NC 27503-9631
(919) 641-1803
(919) 287-2869
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7200576
—
NC
Enumeration date
01/16/2013
Last updated
04/18/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us