Active NPI
Rose Pediatric Therapy, LLC
- Pediatric Occupational Therapist
- Fort Mill, SC
National Provider Identifier
1740198167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- Legal business name
- ROSE PEDIATRIC THERAPY, LLC
- Practice address
- 512 Red Oak CT
Fort Mill, SC 29708-6424 - Phone
- (724) 996-6741
- NPI assigned
- Aug 28, 2026
- Last updated
- Aug 28, 2026
- 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
- Kayla Larson, OTR/L, OTD
- Title
- Occupational Therapist
- Phone
- (724) 996-6741
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | Primary |
Addresses
Primary practice location
512 Red Oak CT
Fort Mill, SC 29708-6424
Mailing address
512 Red Oak CT
Fort Mill, SC 29708-6424
Phone (724) 996-6741
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Occupational Therapist
- Charlotte, NC
- NPI 1043949944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787875200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787875200000",
"number": "1740198167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "512 RED OAK CT",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297086424",
"telephone_number": "724-996-6741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "512 RED OAK CT",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297086424",
"telephone_number": "724-996-6741"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSE PEDIATRIC THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-28",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A",
"authorized_official_last_name": "LARSON",
"authorized_official_first_name": "KAYLA",
"authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
"authorized_official_telephone_number": "724-996-6741",
"authorized_official_credential": "OTR/L, OTD"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Mill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.