Individual provider Active NPI

Amanda Snyder Clegg, MOT, OTR

  • Pediatric Occupational Therapist
  • Charleston, SC
National Provider Identifier
1609474287
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
5916 Issued in SC
Practice address
1064 Gardner Rd
Charleston, SC 29407-5768
Phone
(843) 822-2292
NPI assigned
Oct 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5916 SC
Pediatric Occupational Therapist 225XP0200X 5916 SC Primary

Addresses

Primary practice location

1064 Gardner Rd
Charleston, SC 29407-5768

Mailing address

1064 Gardner Rd Ste 101&102
Charleston, SC 29407-5768

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL amanda@bloomchildrenstherapy.com

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

State licenses

LicenseStateTypeSpecialty
5916SCMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hears 2 You LLC CurrentSince Jan 19, 2025 Accepting new patients
Palmetto Hearing Care Center, LLC Occupational Therapist CurrentSince Apr 6, 2021 Accepting new patients

Locations

9730 Dorchester Rd
Unit 206
Summerville, SC 29485
Phone (843) 364-6361

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1609474287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1064 GARDNER RD STE 101&102",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294075768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1064 GARDNER RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294075768",
            "telephone_number": "843-822-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEGG",
        "first_name": "AMANDA",
        "middle_name": "SNYDER",
        "name_prefix": "Mrs.",
        "credential": "MOT, OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-15",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "5916",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "SC",
            "license": "5916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "amanda@bloomchildrenstherapy.com",
            "affiliation": "N",
            "address_1": "1064 Gardner Rd",
            "city": "Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294075768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; 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.