Island Pediatric Therapy, LLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

ISLAND PEDIATRIC THERAPY, LLC

Practice address

3321 Zoe St
Johns Island, SC 29455-7768

Phone

(843) 270-3412

NPI assigned

Sep 24, 2020

Organization subpart

No

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

Authorized official

Name

Patti Frazier Daniel, OT

Title

Owner, Ceo

Phone

(843) 270-3412

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600905600000",
    "number": "1336756246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3321 ZOE ST",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294557768",
            "telephone_number": "843-270-3412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3321 ZOE ST",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294557768",
            "telephone_number": "843-270-3412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND PEDIATRIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-24",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "PATTI",
        "authorized_official_middle_name": "FRAZIER",
        "authorized_official_title_or_position": "OWNER, CEO",
        "authorized_official_telephone_number": "843-270-3412",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "admin@islandpedstherapy.com",
            "affiliation": "N",
            "endpointDescription": "company email address",
            "address_1": "3321 Zoe St",
            "city": "Johns Island",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294557768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mary Howard, RN
• Jennifer Hunnicutt, A.T.C.
• John Stewart Hyatt, LMFT
• Inner Thread Therapy
• Island Oaks Living Center, LLC
• Island Transitions Counseling and Consulting, LLC.
• Julia Killingsworth Isom, D.O.
• Haley Marie Jamrog, M.S, BCBA
• Johns Island Chiropractic LLC
• Johns Island Pharmacy LLC

• Pediatric Occupational Therapist in Johns Island, SC
• Providers in Johns Island, 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 Sep 24, 2020; 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.