Healthcare Provider Details

I. General information

NPI: 1548242381
Provider Name (Legal Business Name): LEAPS & BOUNDS PEDIATRIC THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

989 KNOX ABBOTT DR SUITE 400
CAYCE SC
29033-3346
US

IV. Provider business mailing address

989 KNOX ABBOTT DR SUITE 400
CAYCE SC
29033-3346
US

V. Phone/Fax

Practice location:
  • Phone: 803-796-7421
  • Fax: 803-796-7422
Mailing address:
  • Phone: 803-796-7421
  • Fax: 803-796-7422

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number2495
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number1304
License Number StateSC
# 3
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number4245
License Number StateSC

VIII. Authorized Official

Name: MS. JULIANNE PRICE JONES
Title or Position: OWNER
Credential: OTR/L
Phone: 803-796-7421