Individual provider Active NPI

Justin Sengkhamphong, OTR/L

  • Occupational Therapist
  • Rock Hill, SC
National Provider Identifier
1619675113
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
15577 Issued in NC
Practice address
1525 Celanese Rd Ste 113
Rock Hill, SC 29732-1757
Phone
(803) 366-8243
NPI assigned
Feb 23, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 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 15577 NC Primary
Occupational Therapist 225X00000X 7827 SC

Addresses

Primary practice location

1525 Celanese Rd Ste 113
Rock Hill, SC 29732-1757

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Other practice location 1

600 Fullwood Ln
Matthews, NC 28105
Phone (704) 841-4920

Other practice location 2

8124 S Tryon St Unit A4
Charlotte, NC 28273-3379
Phone (980) 217-4171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20251208000420 SC Practitioner - Occupational Therapist in Private Practice 4385137397 Reassigns benefits to 3 organizations
I20260114001783 NC Practitioner - Occupational Therapist in Private Practice 4385137397 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Benchmark Healthcare Services LLCGroup PAC ID 3779726468, 136 clinicians
Benchmark Physical Therapy of North Carolina, LLCGroup PAC ID 1052609278, 242 clinicians

Practice addresses (Care Compare)

1525 Celanese Rd
Suite 113
Rock Hill, SC 29732-1757
Phone (803) 366-8243

8124 S Tryon St
Unit A4
Charlotte, NC 28273-3379
Phone (980) 217-4171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7827SCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy of North Carolina LLC Occupational Therapist CurrentSince Dec 8, 2025 Accepting new patients
Physical Therapy and Hand Specialists, LLC Occupational Therapist CurrentSince Dec 8, 2025 Accepting new patients
Benchmark Physical Therapy of North Carolina LLC Occupational Therapist CurrentSince Dec 8, 2025 Accepting new patients
Benchmark Physical Therapy of NC, LLC Occupational Therapist CurrentSince Dec 8, 2025 Accepting new patients
Drayer Physical Therapy-South Carolina, LLC Occupational Therapist CurrentSince Nov 26, 2025 Accepting new patients
Physical Therapy and Hand Specialist, LLC CurrentSince Dec 8, 2025 Accepting new patients
Agilitas USA, Inc Occupational Therapist CurrentSince Nov 26, 2025 Accepting new patients
Drayer Physical Therapy - South Carolina, LLC Occupational Therapist CurrentSince Nov 26, 2025 Accepting new patients
Benchmark Healthcare Services, LLC Occupational Therapist CurrentSince Nov 26, 2025 Accepting new patients
Agilitas USA Inc Occupational Therapist CurrentSince Nov 26, 2025 Accepting new patients
Benchmark Health Services Occupational Therapist CurrentSince Nov 26, 2025 Accepting new patients
Benchmark Health Services, LLC Occupational Therapist PastSince Nov 30, 2025 Accepting new patients
Comprehensive Rehabilitation of the Carolinas, PLLC PastSince Feb 26, 2023 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

610 N Fayetteville St
Ste 101
Asheboro, NC 27203
Phone (336) 633-4263

8124 S Tryon St
Unit A4
Charlotte, NC 28273
Phone (980) 217-4171

207 E Meadow Rd
Ste 3
Eden, NC 27288
Phone (336) 627-3771

10020 Monroe Rd
Ste 160
Matthews, NC 28105
Phone (704) 841-0894

1901 NW Cary Pkwy
Ste 110
Morrisville, NC 27560
Phone (919) 678-1525

1520 Sunday Dr
Ste 105
Raleigh, NC 27607
Phone (919) 420-1682

135 Blythewood Rd
#J
Blythewood, SC 29016
Phone (803) 851-1037

1000 Tanner Ford Blvd
Ste 370
Hanahan, SC 29410
Phone (843) 718-1058

7585 Saint Andrews Rd
Irmo, SC 29063
Phone (803) 749-5031

3032 W Montague Ave
Ste 101
North Charleston, SC 29418
Phone (843) 885-8772

1525 Celanese Rd
#113
Rock Hill, SC 29732
Phone (803) 366-8243

1525 Celanese Rd
Ste 113
Rock Hill, SC 29732
Phone (803) 336-8243

1672 N Main St
Ste 11
Summerville, SC 29486
Phone (843) 289-1456

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1677110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1619675113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 CELANESE RD STE 113",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321757",
            "telephone_number": "803-366-8243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Fullwood Ln",
            "address_purpose": "LOCATION",
            "city": "Matthews",
            "state": "NC",
            "postal_code": "28105",
            "country_code": "US",
            "telephone_number": "704-841-4920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8124 S Tryon St Unit A4",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282733379",
            "country_code": "US",
            "telephone_number": "980-217-4171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SENGKHAMPHONG",
        "first_name": "JUSTIN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-23",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "15577",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "7827",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.