Sea Stars Pediatric Therapy, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

SEA STARS PEDIATRIC THERAPY, LLC

Practice address

1047 Wayfarer LN
Charleston, SC 29412-8424

Phone

(804) 477-4276

NPI assigned

Oct 21, 2021

Last updated

Oct 21, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Mariam Chinn, MS, OTR/L

Title

Occupational Therapist

Phone

(804) 477-4276

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Mariam S Krenkler, OTR/L

  • Occupational Therapist
  • North Charleston, SC
  • NPI 1578957692
  NPD

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

{
    "created_epoch": "1634774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634774400000",
    "number": "1659034197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1047 WAYFARER LN",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294128424",
            "telephone_number": "804-477-4276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1047 WAYFARER LN",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294128424",
            "telephone_number": "804-477-4276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEA STARS PEDIATRIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-21",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-07",
        "status": "A",
        "authorized_official_last_name": "CHINN",
        "authorized_official_first_name": "MARIAM",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "804-477-4276",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Scribner, M.D.
• Caroline P Scruggs, CNM
• Emily Jane Scruggs, PT, DPT
• Sculpt Dental LLC
• Joy Blanton Scurry, M.D.
• Michael Christopher Seabolt
• Seabrook Island Wellness Incorporated (Still Waters Studio)
• Mary Laroche Seabrook, MSW,LISW-CP,ACSW
• Shana Jonelle Seabrook
• Seacoast Pediatrics

• Occupational Therapist in Charleston, SC
• Providers in Charleston, 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 Oct 21, 2021; 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.