Organization Active NPI

Livefreefitness LLC

  • Rehabilitation Clinic/Center
  • Goose Creek, SC
National Provider Identifier
1003644931
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
LIVEFREEFITNESS LLC
Practice address
137 Farm Quarters Dr
Goose Creek, SC 29445-3755
Phone
(603) 918-3096
NPI assigned
Jul 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Authorized official

Name
Katherine Nash, OTR/LNPI 1871184176
Title
Occupational Therapist
Phone
(603) 918-3096

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
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

137 Farm Quarters Dr
Goose Creek, SC 29445-3755

Mailing address

137 Farm Quarters Dr
Goose Creek, SC 29445-3755
Phone (603) 918-3096

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240926002731 SC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3870034168 Receives reassigned benefits from 1 practitioner
Practice locations: Goose Creek, SC

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": "1721692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1003644931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 FARM QUARTERS DR",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294453755",
            "telephone_number": "603-918-3096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 FARM QUARTERS DR",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294453755",
            "telephone_number": "603-918-3096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVEFREEFITNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-23",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "NASH",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "603-918-3096",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goose Creek, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.