KIDSPROUT THERAPY
NPI 1144568726
Speech-Language Pathologist in Bahama, NC

Active since January 16, 2013
10405 STALLION WAY, BAHAMA, NC 27503(919) 641-1803(919) 287-2869 Get Directions Write a Review

NPPES record last updated: April 18, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 18, 2022, Mar 5, 2020, Nov 5, 2019 (3 updates tracked since 2019).

About Kidsprout Therapy NPPES

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

KIDSPROUT THERAPY (NPI 1144568726) is a healthcare organization registered as a speech-language pathologist in Bahama, North Carolina and active in the NPI registry since January 2013. The organization lists Sajina Cooper, Administrative Director, as its authorized official.

NPPES Registry Identity

NPI1144568726
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NameKIDSPROUT THERAPY
Location Address10405 STALLION WAYBahama, NC 27503-9631
Mailing Address10405 Stallion WayBahama, NC 27503-9631 · (919) 641-1803 · Fax (919) 287-2869
Fax(919) 287-2869
Organization SubpartNo
Authorized OfficialSajina CooperAdministrative Director · (919) 641-1803
Enumeration DateJanuary 16, 2013
Last NPPES UpdateApril 18, 20223 updates tracked since enumeration
NPPES CertifiedApril 18, 2022
NPI 1144568726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

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
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
10405 STALLION WAY, Bahama, NC 27503

Other Names 1

Doing Business AsKidsprout Therapy

Other Identifiers 1

Medicaid7200576NC

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

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

Community/Behavioral Health
10405 STALLION WAY
BAHAMA, NC 27503

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 Kidsprout Therapy's NPI number?

The NPI number for Kidsprout Therapy is 1144568726. It was assigned to this organization in the NPPES registry on January 16, 2013.

Where is Kidsprout Therapy located?

Kidsprout Therapy is located at 10405 Stallion Way, Bahama, NC 27503. The listed phone number is (919) 641-1803.

What is Kidsprout Therapy'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 Kidsprout Therapy was last updated on April 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.