Firm Foundations Pediatric Therapy

Organization Active NPI Pediatric Occupational Therapist · Summerton, SC

NPI 1386407153 · NPPES record last updated Feb 2, 2024

Key facts

NPI
1386407153
Entity type
Organization (NPI type 2)
Primary specialty
Pediatric Occupational Therapist 225XP0200X
Legal business name
FIRM FOUNDATIONS PEDIATRIC THERAPY
Practice address
116 Main St
Summerton, SC 29148-6904
Phone
(803) 460-4655
NPI assigned
Feb 2, 2024
Organization subpart
No

Authorized official

Name
Mrs. Jessica Hall Yount, OTR/L NPI 1932351863
Title
Occupational Therapist
Phone
(803) 460-4655

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

Practitioners 1

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

National Provider Directory

Locations

116 Main St
Summerton, SC 29148
Phone (803) 460-4655

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant
Group: 193200000X MULTI-SPECIALTY GROUP
224Z00000X
Pediatric Occupational Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
225XP0200X Yes
Speech-Language Pathologist
Group: 193200000X MULTI-SPECIALTY GROUP
235Z00000X

Addresses

Primary practice location

116 Main St
Summerton, SC 29148-6904

Mailing address

1271 Cottage Dr
Summerton, SC 29148-7008
Phone (803) 460-4655

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 2, 2024.

{
    "created_epoch": "1706832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706832000000",
    "number": "1386407153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1271 COTTAGE DR",
            "city": "SUMMERTON",
            "state": "SC",
            "postal_code": "291487008",
            "telephone_number": "803-460-4655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 MAIN ST",
            "city": "SUMMERTON",
            "state": "SC",
            "postal_code": "291486904",
            "telephone_number": "803-460-4655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRM FOUNDATIONS PEDIATRIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-02",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A",
        "authorized_official_last_name": "YOUNT",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "HALL",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "803-460-4655",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerton, SC

All providers in Summerton, SC · Pediatric Occupational Therapist in South Carolina

Sources for this page

Verify at the official NPI Registry.