Organization Active NPI

Sea Stars Therapy

  • Occupational Therapist
  • Mount Pleasant, SC
National Provider Identifier
1275995631
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
4188 Issued in SC
Legal business name
SEA STARS THERAPY
Practice address
1000 Johnnie Dodds Blvd
Ste 103-179
Mount Pleasant, SC 29464-3135
Phone
(203) 209-7174
Fax
(843) 556-6742
NPI assigned
Mar 24, 2016
Last updated
Mar 24, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

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

Authorized official

Name
Karin B GuarigliaNPI 1710319942
Title
Owner
Phone
(203) 209-7174

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 4188 SC Primary

Addresses

Primary practice location

1000 Johnnie Dodds Blvd
Ste 103-179
Mount Pleasant, SC 29464-3135

Mailing address

1000 Johnnie Dodds Blvd
Ste 103-179
Mount Pleasant, SC 29464-3135
Phone (203) 209-7174

Other identifiers 2

IdentifierTypeStateIssuer
TH2677MedicaidSC
4188OtherLICENSE

National Provider Directory

National Provider Directory

Locations

1000 Johnnie Dodds Blvd
Ste 103179
Mount Pleasant, SC 29464
Phone (203) 209-7174

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458777600000",
    "number": "1275995631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 JOHNNIE DODDS BLVD",
            "address_2": "STE 103-179",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643135",
            "telephone_number": "203-209-7174",
            "fax_number": "843-556-6742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 JOHNNIE DODDS BLVD",
            "address_2": "STE 103-179",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643135",
            "telephone_number": "203-209-7174",
            "fax_number": "843-556-6742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEA STARS THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-24",
        "last_updated": "2016-03-24",
        "status": "A",
        "authorized_official_last_name": "GUARIGLIA",
        "authorized_official_first_name": "KARIN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-209-7174"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "4188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TH2677",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "4188",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; 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.