NPIMap

Organization Active NPI

Charleston Pediatric Rehabilitation

  • Occupational Therapist
  • North Charleston, SC
National Provider Identifier
1649634593
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
CHARLESTON PEDIATRIC REHABILITATION
Practice address
2070 Northbrook Blvd
Suite B-4
North Charleston, SC 29406-9252
Phone
(843) 569-3033
Fax
(843) 569-6820
NPI assigned
Apr 7, 2016
Last updated
Apr 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

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

Authorized official

Name
Lindsay Taylor
Title
Credentialing Specialist
Phone
(843) 569-3033

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU Primary
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

2070 Northbrook Blvd
Suite B-4
North Charleston, SC 29406-9252

Mailing address

2070 Northbrook Blvd
Suite B-4
North Charleston, SC 29406-9252
Phone (843) 569-3033

National Provider Directory

National Provider Directory
Tax ID family
Charleston Pediatric Rehabilitation LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2070 Northbrook Blvd
Ste B4
North Charleston, SC 29406
Phone (843) 569-3033

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459987200000",
    "number": "1649634593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2070 NORTHBROOK BLVD",
            "address_2": "SUITE B-4",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069252",
            "telephone_number": "843-569-3033",
            "fax_number": "843-569-6820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2070 NORTHBROOK BLVD",
            "address_2": "SUITE B-4",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069252",
            "telephone_number": "843-569-3033",
            "fax_number": "843-569-6820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTON PEDIATRIC REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-07",
        "last_updated": "2016-04-07",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "843-569-3033"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Apr 7, 2016; 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.