Patrick Ryan Macconnell, OTD, MS, OTR/L, AT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2939 Issued in SC

Practice address

231 Ribbon Rd
Summerville, SC 29483-8994

Phone

(843) 822-8858

NPI assigned

Mar 10, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Powerback Rehabilitation LLCGroup PAC ID 2365359932, 600 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Powerback Rehabilitation LLC

  dba Powerback Rehabilitation

  • Physical Therapist
  • Charleston, SC
  • NPI 1659257806

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Powerback Rehabilitation LLC

  dba Powerback Rehabilitation

  • Physical Therapist
  • Woodbridge, VA
  • NPI 1790640761

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1741564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1639978141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 RIBBON RD",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294838994",
            "telephone_number": "843-822-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 RIBBON RD",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294838994",
            "telephone_number": "843-822-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACCONNELL",
        "first_name": "PATRICK",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "OTD, MS, OTR/L, AT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "2939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lymin Inc (Miracle Ear)
• Brittany Elizabeth Lyons, DO
• Colleen D Lyons, FNP
• Marissa Pearl Mabry Simpson, COTA/L
• Valerie Ann Mabry
• Randall Mackendrick, M.ED., LPC
• Bernadette Payne Macleod, CPNP
• Patricia F. Maderson, LISW
• Magnolia Children's Therapy
• Magnolia Counseling

• Occupational Therapist in Summerville, SC
• Providers in Summerville, SC by specialty
• Occupational Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.