Active NPI
Charleston Hand Therapy Center
- Customized Equipment (DME)
- N Charleston, SC
National Provider Identifier
1629584545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- Legal business name
- CHARLESTON HAND THERAPY CENTER
- Practice address
- 8950 University Blvd
Suite 200 Room 217
N Charleston, SC 29406 - Phone
- (843) 766-6494
- NPI assigned
- Dec 15, 2017
- 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
- Ms. Elizabeth Fields De Herder, OTR L CHT
- Title
- Owner
- Phone
- (843) 766-6494
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Customized Equipment (DME) | 332BC3200X | Primary |
Addresses
Primary practice location
8950 University Blvd
Suite 200 Room 217
N Charleston, SC 29406
Mailing address
1483 Tobias Gadson Blvd Ste 205B
Charleston, SC 29407-4641
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181004000597 | SC | DME Supplier - Independently-Practicing Occupational Therapist | 5193964419 | Practice locations: Charleston, SC |
Other NPIs with the same Medicare PAC ID 3
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513296000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1515542400000",
"number": "1629584545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1483 TOBIAS GADSON BLVD STE 205B",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294074641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8950 UNIVERSITY BLVD",
"address_2": "SUITE 200 ROOM 217",
"city": "N CHARLESTON",
"state": "SC",
"postal_code": "29406",
"telephone_number": "843-766-6494"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARLESTON HAND THERAPY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-15",
"last_updated": "2018-01-10",
"status": "A",
"authorized_official_last_name": "DE HERDER",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_middle_name": "FIELDS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "843-766-6494",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "OTR L CHT"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in N Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.