Oceanside Pediatric Therapy Services, LLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

OCEANSIDE PEDIATRIC THERAPY SERVICES, LLC

Practice address

1016 2ND Ave N Ste 102
North Myrtle Beach, SC 29582-3287

Phone

(910) 840-9093

NPI assigned

Aug 28, 2019

Last updated

Aug 28, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan Prince, OTR/LNPI 1407349483

Title

Owner/Operator

Phone

(910) 840-9093

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan Prince

  • Occupational Therapist
  • North Myrtle Beach, SC
  • NPI 1407349483

  Pediatrics

  NPD Authorized official

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566950400000",
    "number": "1417505926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 2ND AVE N STE 102",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295823287",
            "telephone_number": "910-840-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 2ND AVE N STE 102",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295823287",
            "telephone_number": "910-840-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEANSIDE PEDIATRIC THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-28",
        "last_updated": "2019-08-28",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "910-840-9093",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Novant Medical Group, Inc (Seaside Orthopaedic North Myrtle)
• Doris June O'Kelley, C.R.N.P.
• Jessica Ober
• Oceano Counseling LLC
• Oceanside Midwives
• Deji O Okuboye, D.O.
• Valerie L Oliver
• Ajulu Oluka
• Orange Therapy LLC
• Elizabeth Aubrey Orlando, HAS

• Pediatric Occupational Therapist in North Myrtle Beach, SC
• Providers in North Myrtle Beach, SC by specialty
• Pediatric Occupational Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; 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.