Organization Active NPI

Charleston Hand Therapy Center

  • Hand Occupational Therapist
  • N Charleston, SC
National Provider Identifier
1316453293
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
Legal business name
CHARLESTON HAND THERAPY CENTER
Practice address
8950 University Blvd
Suite 200 Room 217
N Charleston, SC 29406
Phone
(843) 766-6494
Fax
(843) 766-6495
NPI assigned
Dec 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Authorized official

Name
Ms. Elizabeth Fields De Herder, OTR L CHT
Title
Owner
Phone
(843) 766-6494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XH1200X SC Primary

Addresses

Primary practice location

8950 University Blvd
Suite 200 Room 217
N Charleston, SC 29406

Mailing address

1483 Tobias Gadson Blvd Ste 205B
Charleston, SC 29407-4641
Phone (843) 766-6494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130618000478 SC Part B Supplier - Clinic/Group Practice 5193964419 Receives reassigned benefits from 4 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Charleston, SC; North Charleston, SC; Summerville, SC

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1513209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1316453293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1483 TOBIAS GADSON BLVD STE 205B",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074641",
            "telephone_number": "843-766-6494",
            "fax_number": "843-766-6495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 UNIVERSITY BLVD",
            "address_2": "SUITE 200 ROOM 217",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "29406",
            "telephone_number": "843-766-6494",
            "fax_number": "843-766-6495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTON HAND THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-14",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "DE HERDER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "FIELDS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-766-6494",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR L CHT"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.