Active NPI
The Sensory Guru, LLC
Doing business as Spark Pediatric Therapy
- Rehabilitation Clinic/Center
- Hanahan, SC
National Provider Identifier
1457050312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- THE SENSORY GURU, LLC
- Doing business as
- Spark Pediatric Therapy
- Practice address
- 5806 Campbell St Ofc B
Hanahan, SC 29410-2718 - Phone
- (803) 339-6770
- NPI assigned
- Mar 1, 2023
- 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
- Erika Trump
- Title
- Owner
- Phone
- (757) 679-2773
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | Primary |
Addresses
Primary practice location
5806 Campbell St Ofc B
Hanahan, SC 29410-2718
Mailing address
5806 Campbell St Ofc B
Hanahan, SC 29410-2718
Other names 1
- Spark Pediatric Therapy
National Provider Directory
National Provider DirectoryLocations
5806 Campbell St
Ofc B
Hanahan, SC 29410
Phone (803) 339-6770
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- Hanahan, SC
- NPI 1063862530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677628800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677628800000",
"number": "1457050312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5806 CAMPBELL ST OFC B",
"city": "HANAHAN",
"state": "SC",
"postal_code": "294102718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5806 CAMPBELL ST OFC B",
"city": "HANAHAN",
"state": "SC",
"postal_code": "294102718",
"telephone_number": "803-339-6770"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE SENSORY GURU, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-01",
"last_updated": "2023-03-01",
"certification_date": "2023-03-01",
"status": "A",
"authorized_official_last_name": "TRUMP",
"authorized_official_first_name": "ERIKA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "757-679-2773"
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Spark Pediatric Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hanahan, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.