Organization Active NPI

Lowcountry Pediatric Therapy LLC

  • Physical Therapy Clinic/Center
  • Charleston, SC
National Provider Identifier
1003295908
Registry record updated May 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
6203 Issued in SC
Legal business name
LOWCOUNTRY PEDIATRIC THERAPY LLC
Practice address
3019 Saintsbury Cove Dr
Charleston, SC 29414-8001
Phone
(704) 301-4733
NPI assigned
May 26, 2015
Last updated
May 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2015

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

Authorized official

Name
Jacqueline Wilkinson
Title
Member
Phone
(704) 301-4733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 6203 SC Primary

Addresses

Primary practice location

3019 Saintsbury Cove Dr
Charleston, SC 29414-8001

Mailing address

3019 Saintsbury Cove Dr
Charleston, SC 29414-8001

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1432598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432598400000",
    "number": "1003295908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3019 SAINTSBURY COVE DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294148001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3019 SAINTSBURY COVE DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294148001",
            "telephone_number": "704-301-4733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWCOUNTRY PEDIATRIC THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-26",
        "last_updated": "2015-05-26",
        "status": "A",
        "authorized_official_last_name": "WILKINSON",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "704-301-4733"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "SC",
            "license": "6203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; 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.