Mount Pleasant Pediatric Physical Therapy, LLC

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

Legal business name

MOUNT PLEASANT PEDIATRIC PHYSICAL THERAPY, LLC

Practice address

1051 Johnnie Dodds Blvd Ste G
Mount Pleasant, SC 29464-3100

Phone

(423) 388-5198

Fax

(888) 443-6471

NPI assigned

Jan 18, 2018

Organization subpart

No

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

Authorized official

Name

Annmarie R. Leahy, MS CCC-SLP

Title

Owner/SLP

Phone

(843) 300-2812

Specialties & licenses 1

Addresses

Other names 1

• Mount Pleasant Pediatric Speech Therapy Other name

Locations

Practitioners 3

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

• Francis J Leahy, DPT

  • Physical Therapist
  • Mt Pleasant, SC
  • NPI 1871185397
  NPD
• Kylie Jester

  • Speech-Language Pathologist
  • Mount Pleasant, SC
  • NPI 1417596826
  NPD (past)
• Annmarie Rabal, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Mt Pleasant, SC
  • NPI 1376822452
  NPD (past)

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

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519084800000",
    "number": "1215445747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3217 SEABORN DR",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294668529",
            "telephone_number": "843-300-2812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 JOHNNIE DODDS BLVD STE G",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643100",
            "telephone_number": "423-388-5198",
            "fax_number": "888-443-6471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT PLEASANT PEDIATRIC PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-18",
        "last_updated": "2018-02-20",
        "status": "A",
        "authorized_official_last_name": "LEAHY",
        "authorized_official_first_name": "ANNMARIE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER/SLP",
        "authorized_official_telephone_number": "843-300-2812",
        "authorized_official_credential": "MS CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mount Pleasant Pediatric Speech Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mount Pleasant Manor LLC
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• Mount Pleasant OB/GYN, PA
• Mount Pleasant Orthodontics LLC
• Mount Pleasant Outpatient Surgery Center LLC
• Mount Pleasant Pediatrics, P.a.
• Mount Pleasant Speech and Language, LLC
• Mount Pleasant Surgical, LLC
• Movement Matters Physical Therapy, LLC
• Jennette Marie Mowry, PT

• Pediatric Physical Therapist in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Pediatric Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; 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.