Individual provider Active NPI

James Pennington, OTR/L

  • Occupational Therapist
  • Florence, SC
National Provider Identifier
1184986234
Registry record updated Feb 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3947 Issued in SC
Practice address
2100 Twin Church Rd
Florence, SC 29501-8222
Phone
(843) 673-0033
NPI assigned
Jun 14, 2012
Last updated
Feb 5, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 3947 SC Primary

Addresses

Primary practice location

2100 Twin Church Rd
Florence, SC 29501-8222

Mailing address

2100 Twin Church Rd
Florence, SC 29501-8222
Phone (843) 673-0033

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170911002371 SC Practitioner - Occupational Therapist in Private Practice 2567735772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catalyst Rehabilitation LLCGroup PAC ID 2860765070, 3 clinicians

Practice addresses (Care Compare)

2100 Twin Church Rd
Florence, SC 29501-8222
Phone (843) 468-2233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3947SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Catalyst Rehabilitation LLC CurrentSince Aug 2, 2017 Accepting new patients

Locations

2100 Twin Church Rd
Florence, SC 29501
Phone (843) 468-2233

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360022400000",
    "number": "1184986234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 TWIN CHURCH RD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295018222",
            "telephone_number": "843-673-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 TWIN CHURCH RD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295018222",
            "telephone_number": "843-673-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNINGTON",
        "first_name": "JAMES",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-14",
        "last_updated": "2013-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "3947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.