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

Kidsprout Therapy

Organization Developmental Therapist · NPI 1184046278

Kidsprout Therapy is a Developmental Therapist in Bahama, North Carolina. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
5

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

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X
Developmental Therapist Taxonomy 222Q00000X
Physical Therapist Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1184046278
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sajina Cooper — Administrative Director · (919) 641-1803
NPI enumeratedJanuary 9, 2014
Last updated in NPPESApril 18, 2022
Certification dateApril 18, 2022
Mailing address10405 Stallion Way, Bahama, NC 27503-9631