Active NPI
Aaron J Landry, MS OTR/L
- Occupational Therapist
- Florence, SC
National Provider Identifier
1437687241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4008
- Practice address
- 4438 Pamplico Hwy
Florence, SC 29505-8502 - Phone
- (843) 669-3502
- NPI assigned
- May 24, 2017
- Last updated
- May 24, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 4008 | SC | Primary |
Addresses
Primary practice location
4438 Pamplico Hwy
Florence, SC 29505-8502
Mailing address
1200 Purple Martin Dr
Effingham, SC 29541-4945
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4008 | SC | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495584000000",
"number": "1437687241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 PURPLE MARTIN DR",
"city": "EFFINGHAM",
"state": "SC",
"postal_code": "295414945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4438 PAMPLICO HWY",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295058502",
"telephone_number": "843-669-3502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDRY",
"first_name": "AARON",
"middle_name": "J",
"credential": "MS OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-05-24",
"last_updated": "2017-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "4008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Florence, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.