OrganizationActive
Carolina Kids Therapeutic Interventions, LLC
NPI 1578746764 · Pediatric Physical Therapist · Irmo, SC
Provider details
- NPI number
- 1578746764
- Entity type
- Organization
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Kristine Haynes, Owner(803) 767-9737
- License
- 5406 (SC)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
454 Bookman Mill Rd
Irmo, SC 29063-7946
Phone: (803) 767-9737
Fax: (803) 749-6932
Street-level locationGet directions
Mailing address
Po Box 225
Columbia, SC 29202-0225
Other names (DBA / former)
- Other name
- Carolina Kids
Registry dates
- Enumerated
- 2007-12-11
- Last updated
- 2009-03-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.