Organization Active NPI

Sorinity Support Services LLC

  • Occupational Therapy Assistant
  • Charleston, SC
National Provider Identifier
1407113723
Registry record updated Apr 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
Legal business name
SORINITY SUPPORT SERVICES LLC
Practice address
4000 Faber Place Dr Ste 300
Charleston, SC 29405-8587
Phone
(866) 273-6377
Fax
(866) 364-7607
NPI assigned
Apr 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2012

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

Authorized official

Name
Alvina Roberts
Title
Owner
Phone
(866) 273-6377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 224Z00000X Primary

Addresses

Primary practice location

4000 Faber Place Dr Ste 300
Charleston, SC 29405-8587

Mailing address

4000 Faber Place Dr Ste 300
Charleston, SC 29405-8587
Phone (866) 273-6377

Other identifiers 1

IdentifierTypeStateIssuer
000587600MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1407113723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 FABER PLACE DR STE 300",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294058587",
            "telephone_number": "866-273-6377",
            "fax_number": "866-364-7607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 FABER PLACE DR STE 300",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294058587",
            "telephone_number": "866-273-6377",
            "fax_number": "866-364-7607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SORINITY SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-12",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "ALVINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "866-273-6377"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000587600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; 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.