Isabelle Anastasia Childers, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

6661 Issued in SC

Practice address

343 Prado Way
Greenville, SC 29607-6512

Phone

(864) 270-8647

NPI assigned

Dec 18, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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

• Fundamental Communications

  • Speech-Language Pathologist
  • Greenville, SC
  • NPI 1508040239
  NPD

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1265200414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 PRADO WAY",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296076512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 PRADO WAY",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296076512",
            "telephone_number": "864-270-8647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDERS",
        "first_name": "ISABELLE",
        "middle_name": "ANASTASIA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "SC",
            "license": "6661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Chestnut, MD
• Matthew Dale Chetta, M.D.
• Sulene L CHI, M.D.
• Thomas Anthony Chiarello
• Anna Childers, MS, LCGC
• Tyler K Childers, AA
• Jeffrey Lee Childes, MD
• Children Making Strides of SC LLC
• Children'S Respiratory Center, PA
• Childrens Dentistry of Greenville

• Pediatric Occupational Therapist in Greenville, SC
• Providers in Greenville, 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 Dec 18, 2023; 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.