Provider Demographics
NPI:1295581148
Name:SPRING HILL PEDIATRIC THERAPIES, LLC
Entity type:Organization
Organization Name:SPRING HILL PEDIATRIC THERAPIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:PEYTON
Authorized Official - Middle Name:
Authorized Official - Last Name:AMICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-456-2796
Mailing Address - Street 1:5760 BUNCH RD
Mailing Address - Street 2:
Mailing Address - City:OAK RIDGE
Mailing Address - State:NC
Mailing Address - Zip Code:27310-9742
Mailing Address - Country:US
Mailing Address - Phone:336-456-2796
Mailing Address - Fax:336-868-2780
Practice Address - Street 1:5760 BUNCH RD
Practice Address - Street 2:
Practice Address - City:OAK RIDGE
Practice Address - State:NC
Practice Address - Zip Code:27310-9742
Practice Address - Country:US
Practice Address - Phone:336-456-2798
Practice Address - Fax:336-868-2780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-30
Last Update Date:2024-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPediatric Rehabilitation MedicineGroup - Multi-Specialty