Organization Active NPI

Maud and Company Rehab Services Inc

  • Occupational Therapist
  • Dillon, SC
National Provider Identifier
1306806054
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1487 Issued in SC
Legal business name
MAUD AND COMPANY REHAB SERVICES INC
Practice address
126 N Macarthur Ave
Dillon, SC 29536-3434
Phone
(843) 774-7462
NPI assigned
Mar 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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

Authorized official

Name
Ms. Maud N Mmbo, OTR/L
Title
President
Phone
(843) 774-7462

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X 1487 SC Primary

Addresses

Primary practice location

126 N Macarthur Ave
Dillon, SC 29536-3434

Mailing address

405 Wake Robin CT
Florence, SC 29505-3189
Phone (843) 774-7462

Other identifiers 1

IdentifierTypeStateIssuer
GP3820MedicaidSC

National Provider Directory

National Provider Directory

Locations

210 W Harrison St
Dillon, SC 29536
Phone (843) 487-5004

108 N Mauldin St
Latta, SC 29565
Phone (843) 713-1677

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1143331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1306806054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 WAKE ROBIN CT",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295053189",
            "telephone_number": "843-774-7462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 N MACARTHUR AVE",
            "city": "DILLON",
            "state": "SC",
            "postal_code": "295363434",
            "telephone_number": "843-774-7462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUD AND COMPANY REHAB SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-26",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "MMBO",
        "authorized_official_first_name": "MAUD",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-774-7462",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "1487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3820",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dillon, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.