Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kidsprout Therapy

Organization Physical Therapist · NPI 1144568726

Kidsprout Therapy is a Physical Therapist in Bahama, North Carolina. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
4

Practice location Address checks out

10405 Stallion Way
Bahama, NC 27503-9631
Phone: (919) 641-1803
Fax: (919) 287-2869
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X
Physical Therapist Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X
Community/Behavioral Health Agency Taxonomy 251S00000X

Record details

NPI number1144568726
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sajina Cooper — Administrative Director · (919) 641-1803
Other names Kidsprout Therapy; Kidsprout Therapy
NPI enumeratedJanuary 16, 2013
Last updated in NPPESApril 18, 2022
Certification dateApril 18, 2022
Mailing address10405 Stallion Way, Bahama, NC 27503-9631

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