Building Blocks Therapy, LLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

2206 Issued in SC

Legal business name

BUILDING BLOCKS THERAPY, LLC

Practice address

102 Ashton Dr
Goose Creek, SC 29445-6626

Phone

(843) 708-0859

Fax

(843) 821-6579

NPI assigned

Jan 31, 2007

Organization subpart

No

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

Authorized official

Name

Angela G. BeardNPI 1588719249

Title

Member

Phone

(843) 708-0859

Specialties & licenses 1

Addresses

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.

• Angela Gail Beard

  • Pediatric Occupational Therapist
  • Goose Creek, SC
  • NPI 1588719249

  Pediatrics

  NPD (past) Authorized official

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003953514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 ASHTON DR",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294456626",
            "telephone_number": "843-708-0859",
            "fax_number": "843-821-6579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 ASHTON DR",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294456626",
            "telephone_number": "843-708-0859",
            "fax_number": "843-821-6579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUILDING BLOCKS THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEARD",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "843-708-0859"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "SC",
            "license": "2206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ray Brown
• Rhiannon Brown, LPCA
• Sharon Neff Brown
• Stephen Brown, PHARMD
• Donald Edward Buck, M.D.
• John Bunkall, MD
• Stacha N Burgess
• Christina A Burns
• Brittany Byron, OTR/L
• Titus Daniel Caddell Sr., MD

• Pediatric Occupational Therapist in Goose Creek, SC
• Providers in Goose Creek, SC by specialty
• Pediatric Occupational Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.