Active NPI
Little Fish OT
- Pediatric Occupational Therapist
- Greenville, SC
National Provider Identifier
1396580668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- Legal business name
- LITTLE FISH OT
- Practice address
- 16 Alice Farr Dr
Greenville, SC 29617-1502 - Phone
- (661) 858-3219
- NPI assigned
- Jun 28, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Olivia Fisher, OTR/L
- Title
- Owner/ Service Provider
- Phone
- (661) 858-3219
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | Primary |
Addresses
Primary practice location
16 Alice Farr Dr
Greenville, SC 29617-1502
Mailing address
16 Alice Farr Dr
Greenville, SC 29617-1502
Phone (661) 858-3219
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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": "1719532800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719532800000",
"number": "1396580668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 ALICE FARR DR",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296171502",
"telephone_number": "661-858-3219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 ALICE FARR DR",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296171502",
"telephone_number": "661-858-3219"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LITTLE FISH OT",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-28",
"last_updated": "2024-06-28",
"certification_date": "2024-06-17",
"status": "A",
"authorized_official_last_name": "FISHER",
"authorized_official_first_name": "OLIVIA",
"authorized_official_title_or_position": "OWNER/ SERVICE PROVIDER",
"authorized_official_telephone_number": "661-858-3219",
"authorized_official_credential": "OTR/L"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.