NPIMap

Organization Active NPI

Charleston Hand Therapy Center

  • Hand Occupational Therapist
  • Charleston, SC
National Provider Identifier
1124462148
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
Legal business name
CHARLESTON HAND THERAPY CENTER
Practice address
1483 Tobias Gadson Blvd
Suite 205B
Charleston, SC 29407-8702
Phone
(843) 766-7694
Fax
(843) 766-6495
NPI assigned
Apr 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Authorized official

Name
Mrs. Elizabeth Fields De Herder, OTR/L CHTNPI 1891743514
Title
Owner
Phone
(843) 766-6494

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
Hand Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XH1200X Primary

Addresses

Primary practice location

1483 Tobias Gadson Blvd
Suite 205B
Charleston, SC 29407-8702

Mailing address

1483 Tobias Gadson Blvd
Suite 205B
Charleston, SC 29407-8702
Phone (843) 856-3200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130618000478 SC Part B Supplier - Clinic/Group Practice 5193964419 Receives reassigned benefits from 4 practitioners
3 other NPIs on this enrollment
Practice locations: Charleston, SC; North Charleston, SC; Summerville, SC

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Charleston Hand Therapy Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8950 University Blvd
Rm 217
North Charleston, SC 29406

119 E 4th North St
Unit A
Summerville, SC 29483
Phone (843) 766-6494

119 E 4th North St
Summerville, SC 29483

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1366502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1124462148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1483 TOBIAS GADSON BLVD",
            "address_2": "SUITE 205B",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294078702",
            "telephone_number": "843-856-3200",
            "fax_number": "843-766-6495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1483 TOBIAS GADSON BLVD",
            "address_2": "SUITE 205B",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294078702",
            "telephone_number": "843-766-7694",
            "fax_number": "843-766-6495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTON HAND THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-21",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "DE HERDER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "FIELDS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-766-6494",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L CHT"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": null,
            "license": null,
            "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 Oct 9, 2024; 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.