Courtney Marino, OTRL, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4331 Issued in SC

Practice address

267 Delahow St
Daniel Island, SC 29492-8277

Phone

(843) 670-1967

NPI assigned

Oct 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Personal Care Physical Therapy

  • Physical Therapist
  • Johns Island, SC
  • NPI 1215941513
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387152000000",
    "number": "1538256433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 DELAHOW ST",
            "city": "DANIEL ISLAND",
            "state": "SC",
            "postal_code": "294928277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 DELAHOW ST",
            "city": "DANIEL ISLAND",
            "state": "SC",
            "postal_code": "294928277",
            "telephone_number": "843-670-1967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINO",
        "first_name": "COURTNEY",
        "credential": "OTRL, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2013-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "2771",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "4331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TH1385",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lithom Spectrum Inc
• Little Pineapples Play Therapy
• Lowcountry Pediatric Physical Therapy LLC
• Alison E Macleod, FNP
• Lauren Mandrgoc
• Marisa Nava, PH. D.
• Jamie Schultis Marth, MD
• Stephanie L McCarter, MD
• Bright McConnell III, MD
• Brett P McCoy

• Speech-Language Pathologist in Daniel Island, SC
• Providers in Daniel Island, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2013; 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.