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
- Title
- Occupational Therapist
- Phone
- (803) 460-4655
Practitioners 1
-
Jessica H Yount, OTR/L
National Provider Directory
Locations
116 Main St
Summerton, SC 29148
Phone (803) 460-4655
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant |
224Z00000X | |||
| Pediatric Occupational Therapist |
225XP0200X | Yes | ||
| Speech-Language Pathologist |
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
{
"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
- Clarendon Memorial Hospital
- Clarendon Memorial Hosptial
- Clarendon One
- Michelle Clark
- Trina Topshe Corbett
- Heart Star Medical Transportation
- Jade Huang
- K & M Care PC
- Miranda Kerley
- David T Koon Jr.
All providers in Summerton, SC · Pediatric Occupational Therapist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.