Healthcare Provider Details

I. General information

NPI: 1871614537
Provider Name (Legal Business Name): PEDIATRICS UNLIMITED INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

355 OAK GROVE ROAD
SPARTANBURG SC
29301
US

IV. Provider business mailing address

355 OAK GROVE ROAD
SPARTANBURG SC
29301
US

V. Phone/Fax

Practice location:
  • Phone: 864-595-4225
  • Fax: 864-595-4821
Mailing address:
  • Phone: 864-595-4225
  • Fax: 864-595-4821

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State

VIII. Authorized Official

Name: KATHLEEN MAXWELL
Title or Position: PRESIDENT
Credential: OTR L
Phone: 864-595-4225