Organization Active NPI

Lemons to Lemonade Therapy, LLC

  • Physical Therapist
  • Charleston, SC
National Provider Identifier
1053858746
Registry record updated Feb 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7438 Issued in SC
Legal business name
LEMONS TO LEMONADE THERAPY, LLC
Practice address
2754 Jobee Dr
Unit #2
Charleston, SC 29414-6539
Phone
(410) 603-0534
NPI assigned
Jan 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2017

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

Authorized official

Name
Ashley Bondurant, DPT
Title
Owner
Phone
(410) 603-0534

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 7438 SC Primary

Addresses

Primary practice location

2754 Jobee Dr
Unit #2
Charleston, SC 29414-6539

Mailing address

2754 Jobee Dr
Unit #2
Charleston, SC 29414-6539
Phone (410) 603-0534

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1484784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488153600000",
    "number": "1053858746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2754 JOBEE DR",
            "address_2": "UNIT #2",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294146539",
            "telephone_number": "410-603-0534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2754 JOBEE DR",
            "address_2": "UNIT #2",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294146539",
            "telephone_number": "410-603-0534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEMONS TO LEMONADE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-19",
        "last_updated": "2017-02-27",
        "status": "A",
        "authorized_official_last_name": "BONDURANT",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-603-0534",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "7438",
            "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 Feb 27, 2017; 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.