Active NPI
Calli Studebaker
- Occupational Therapist
- North Charleston, SC
National Provider Identifier
1588066112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 9225 University Blvd Ste E2C
North Charleston, SC 29406-9149 - Phone
- (843) 569-4546
- Fax
- (843) 569-4535
- NPI assigned
- Sep 26, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | OH | ||
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
9225 University Blvd Ste E2C
North Charleston, SC 29406-9149
Mailing address
9225 University Blvd Ste E2C
North Charleston, SC 29406-9149
Phone (846) 569-4546
Other practice location 1
187 W Schrock Rd
Westerville, OH 43081-2890
Phone (614) 355-8315
Other practice location 2
1014 e cooper ave
folly beach, SC 43230
Phone (937) 765-1811
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2846675 | Medicaid | OH | |
| TH3303 | Medicaid | SC |
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Confident Kids Therapy, LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatric Occupational Therapist
- Delaware, OH
- NPI 1134792187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552262400000",
"number": "1588066112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9225 UNIVERSITY BLVD STE E2C",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294069149",
"telephone_number": "846-569-4546",
"fax_number": "843-569-4535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9225 UNIVERSITY BLVD STE E2C",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294069149",
"telephone_number": "843-569-4546",
"fax_number": "843-569-4535"
}
],
"practiceLocations": [
{
"address_1": "187 W Schrock Rd",
"address_purpose": "LOCATION",
"city": "Westerville",
"state": "OH",
"postal_code": "430812890",
"country_code": "US",
"telephone_number": "614-355-8315",
"fax_number": "614-355-8361",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1014 e cooper ave",
"address_purpose": "LOCATION",
"city": "folly beach",
"state": "SC",
"postal_code": "43230",
"country_code": "US",
"telephone_number": "937-765-1811",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STUDEBAKER",
"first_name": "CALLI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-26",
"last_updated": "2019-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2846675",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "TH3303",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.