Organization Active NPI

Paul J. Tardy

  • Occupational Therapist
  • Lexington, SC
National Provider Identifier
1003079534
Registry record updated Aug 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3735 Issued in SC
Legal business name
PAUL J. TARDY
Practice address
105 Serendipity Way # D
Lexington, SC 29072-6999
Phone
(803) 556-3911
Fax
(866) 887-4617
NPI assigned
Jul 3, 2008
Last updated
Aug 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Paul J. Tardy, OTR/LNPI 1619010857
Title
Owner - Occupational Therapist
Phone
(803) 556-3911

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X 3735 SC Primary

Addresses

Primary practice location

105 Serendipity Way # D
Lexington, SC 29072-6999

Mailing address

105 Serendipity Way # D
Lexington, SC 29072-6999
Phone (803) 556-3911

Other names 1

  • PT the OT Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472169600000",
    "number": "1003079534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SERENDIPITY WAY # D",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290726999",
            "telephone_number": "803-556-3911",
            "fax_number": "866-887-4617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 SERENDIPITY WAY # D",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290726999",
            "telephone_number": "803-556-3911",
            "fax_number": "866-887-4617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL J. TARDY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-03",
        "last_updated": "2016-08-26",
        "status": "A",
        "authorized_official_last_name": "TARDY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER - OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "803-556-3911",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "3735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PT the OT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lexington, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.