KINETIC PEDIATRIC THERAPY, INC.
NPI 1124910039
Speech-Language Pathologist in Greenville, NC

Active since July 16, 2025
1540 E ARLINGTON BLVD, GREENVILLE, NC 27858(252) 902-7061(252) 364-2863 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kinetic Pediatric Therapy, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KINETIC PEDIATRIC THERAPY, INC. (NPI 1124910039) is a healthcare organization registered as a speech-language pathologist in Greenville, North Carolina and active in the NPI registry since July 2025. The organization lists Charlie David Edwards, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1124910039
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NameKINETIC PEDIATRIC THERAPY, INC.
Location Address1540 E ARLINGTON BLVDGreenville, NC 27858-5870
Mailing Address1540 E Arlington BlvdGreenville, NC 27858-5870 · (252) 902-7061 · Fax (252) 364-2863
Fax(252) 364-2863
Organization SubpartNo
Authorized OfficialCharlie David EdwardsCo-owner · (252) 902-7061
Enumeration DateJuly 16, 2025
NPPES CertifiedJuly 16, 2025
NPI 1124910039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedOccupational TherapistTaxonomy 225X00000X
1540 E ARLINGTON BLVD, Greenville, NC 27858

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
1540 E ARLINGTON BLVD
GREENVILLE, NC 27858
Speech-Language Pathologist
1540 E ARLINGTON BLVD
GREENVILLE, NC 27858
Physical Therapist
1540 E ARLINGTON BLVD
GREENVILLE, NC 27858
Occupational Therapist
1540 E ARLINGTON BLVD
GREENVILLE, NC 27858
Massage Therapist
1540 E ARLINGTON BLVD
GREENVILLE, NC 27858
Massage Therapist
1540 E ARLINGTON BLVD
GREENVILLE, NC 27858
Speech-Language Pathologist
1540 E ARLINGTON BLVD
GREENVILLE, NC 27858
Dietitian, Registered
1540 E ARLINGTON BLVD
GREENVILLE, NC 27858

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kinetic Pediatric Therapy, Inc.'s NPI number?

The NPI number for Kinetic Pediatric Therapy, Inc. is 1124910039. It was assigned to this organization in the NPPES registry on July 16, 2025.

Where is Kinetic Pediatric Therapy, Inc. located?

Kinetic Pediatric Therapy, Inc. is located at 1540 E Arlington Blvd, Greenville, NC 27858. The listed phone number is (252) 902-7061.

What is Kinetic Pediatric Therapy, Inc.'s specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Kinetic Pediatric Therapy, Inc. was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.