Organization Active NPI

Little Fish OT

  • Pediatric Occupational Therapist
  • Greenville, SC
National Provider Identifier
1396580668
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
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

Updated by the provider on Jun 28, 2024

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

Authorized official

Name
Olivia Fisher, OTR/LNPI 1215685482
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)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & 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.

Verify at the official NPI Registry.