Organization Active NPI

Mims Therapy, Inc.

  • Occupational Therapist
  • Pamplico, SC
National Provider Identifier
1114577996
Registry record updated Sep 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
MIMS THERAPY, INC.
Practice address
6830 Francis Marion Rd
Pamplico, SC 29583-6900
Phone
(843) 621-6964
NPI assigned
Sep 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2019

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

Authorized official

Name
Mrs. Mary B. Mims, OTR/L
Title
President
Phone
(843) 621-6964

Specialties & licenses 1

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

Addresses

Primary practice location

6830 Francis Marion Rd
Pamplico, SC 29583-6900

Mailing address

6830 Francis Marion Rd
Pamplico, SC 29583-6900
Phone (843) 621-6964

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568332800000",
    "number": "1114577996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6830 FRANCIS MARION RD",
            "city": "PAMPLICO",
            "state": "SC",
            "postal_code": "295836900",
            "telephone_number": "843-621-6964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6830 FRANCIS MARION RD",
            "city": "PAMPLICO",
            "state": "SC",
            "postal_code": "295836900",
            "telephone_number": "843-621-6964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIMS THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-13",
        "last_updated": "2019-09-13",
        "status": "A",
        "authorized_official_last_name": "MIMS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-621-6964",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pamplico, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2019; 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.