Senior Therapy Resources, Inc.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056008120 Issued in IL

Legal business name

SENIOR THERAPY RESOURCES, INC.

Practice address

2921 Waterleaf Rd
Johns Island, SC 29455-3176

Phone

(719) 322-5923

NPI assigned

Jun 15, 2013

Organization subpart

No

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

Authorized official

Name

Lisa Ceinski

Title

Owner

Phone

(719) 322-5923

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1371254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646784000000",
    "number": "1750720579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2921 WATERLEAF RD",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294553176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2921 WATERLEAF RD",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294553176",
            "telephone_number": "719-322-5923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR THERAPY RESOURCES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-15",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A",
        "authorized_official_last_name": "CEINSKI",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-322-5923"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056008120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ILLINOIS",
            "identifier": "4532934",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOLE PROPRIETOR NPI",
            "identifier": "1437459401",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "302589185001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Johns Island, SC
• Providers in Johns Island, 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 9, 2022; 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.