Organization Active NPI

Butterfly Pediatric Therapy, LLC

  • Pediatric Occupational Therapist
  • Lancaster, SC
National Provider Identifier
1306697511
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
BUTTERFLY PEDIATRIC THERAPY, LLC
Doing business as
Butterfly Pediatric Therapy, LLC
Practice address
814 Woodbridge St
Lancaster, SC 29720-7738
Phone
(803) 804-0879
NPI assigned
Mar 27, 2024
Last updated
Mar 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Authorized official

Name
Mrs. Melissa Danelle Cocho-Tanner, OTR/LNPI 1376868216
Title
Otr/L/Owner
Phone
(803) 804-0879

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X Primary

Addresses

Primary practice location

814 Woodbridge St
Lancaster, SC 29720-7738

Mailing address

814 Woodbridge St
Lancaster, SC 29720-7738
Phone (803) 804-0879

Other names 1

  • Butterfly Pediatric Therapy, LLC Doing business as

National Provider Directory

National Provider Directory

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": "1711497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1306697511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 WOODBRIDGE ST",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297207738",
            "telephone_number": "803-804-0879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 WOODBRIDGE ST",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297207738",
            "telephone_number": "803-804-0879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUTTERFLY PEDIATRIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "COCHO-TANNER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "DANELLE",
        "authorized_official_title_or_position": "OTR/L/OWNER",
        "authorized_official_telephone_number": "803-804-0879",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Butterfly Pediatric Therapy, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lancaster, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.