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
- 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
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
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.