Island Pediatric Therapy Inc

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

ISLAND PEDIATRIC THERAPY INC

Practice address

1744 Sam Rittenberg Blvd
Charleston, SC 29407-4935

Phone

(843) 270-3412

Fax

(843) 627-4706

NPI assigned

Jun 26, 2022

Organization subpart

No

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

Authorized official

Name

Patti Frazier Daniel, OTRNPI 1912297631

Title

Occupational Therapist, Owner

Phone

(843) 270-3412

Specialties & licenses 1

Addresses

Practitioners 1

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

• Patti F Daniel, OT

  • Occupational Therapist
  • Johns Island, SC
  • NPI 1912297631
  NPD Authorized official

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

{
    "created_epoch": "1656201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656201600000",
    "number": "1215669619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 218",
            "city": "EHRHARDT",
            "state": "SC",
            "postal_code": "290810218",
            "telephone_number": "843-270-3412",
            "fax_number": "843-627-4706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1744 SAM RITTENBERG BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074935",
            "telephone_number": "843-270-3412",
            "fax_number": "843-627-4706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND PEDIATRIC THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-26",
        "last_updated": "2022-06-26",
        "certification_date": "2022-06-26",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "PATTI",
        "authorized_official_middle_name": "FRAZIER",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST, OWNER",
        "authorized_official_telephone_number": "843-270-3412",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• S.M. Touhidul Islam, PHD
• Island Experience, Inc.
• Island Gentle Dental Care, LLC
• Island Gentle Dental, Inc.
• Island P.T.,LLC
• Islands Against Cancer, Inc.
• Deema Ismail, M.D.
• Saima Ismaili, DPM
• Alexis Isom
• Hannah Michelle Istre-Wilz, MD

• Pediatric Occupational Therapist in Charleston, SC
• Providers in Charleston, SC by specialty
• Pediatric Occupational Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2022; 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.