Organization Active NPI

Pearl Rehabilitation LLC

  • Home Health Agency
  • Summerville, SC
National Provider Identifier
1144568213
Registry record updated Jan 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
3816 Issued in SC
Legal business name
PEARL REHABILITATION LLC
Practice address
3052 Argyll Dr
Mendenhall St
Summerville, SC 29483-8390
Phone
(770) 378-5014
NPI assigned
Jan 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2013

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

Authorized official

Name
Mrs. Stefani S Ankeny, OTR/LNPI 1043559776
Title
Occupational Therapist
Phone
(770) 378-5014

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
Home Health Agency 251E00000X 3816 SC Primary

Addresses

Primary practice location

3052 Argyll Dr
Mendenhall St
Summerville, SC 29483-8390

Mailing address

3052 Argyll Dr
Summerville, SC 29483-8390
Phone (770) 378-5014

National Provider Directory

National Provider Directory
Tax ID family
Pearl Rehabilitation LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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.

NPI Registry JSON

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

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358985600000",
    "number": "1144568213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3052 ARGYLL DR",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294838390",
            "telephone_number": "770-378-5014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3052 ARGYLL DR",
            "address_2": "MENDENHALL ST",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294838390",
            "telephone_number": "770-378-5014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-24",
        "last_updated": "2013-01-24",
        "status": "A",
        "authorized_official_last_name": "ANKENY",
        "authorized_official_first_name": "STEFANI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "770-378-5014",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "SC",
            "license": "3816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; 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.