Active NPI
Rocket Pediatric Therapy, LLC
- Pediatric Occupational Therapist
- Irmo, SC
National Provider Identifier
1801627393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- Legal business name
- ROCKET PEDIATRIC THERAPY, LLC
- Practice address
- 1036 Kinley Rd Ste B
Irmo, SC 29063-9632 - Phone
- (912) 541-3738
- NPI assigned
- Aug 8, 2024
- Last updated
- Aug 8, 2024
- 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
- Anna Harmon, OTR/L
- Title
- Occupational Therapist
- Phone
- (912) 541-3738
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | NU | Primary |
Addresses
Primary practice location
1036 Kinley Rd Ste B
Irmo, SC 29063-9632
Mailing address
1036 Kinley Rd Ste B
Irmo, SC 29063-9632
Phone (912) 541-3738
National Provider Directory
National Provider DirectoryLocations
1036 Kinley Rd
Ste B
Irmo, SC 29063
Phone (803) 787-3033
Practitioners & 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723075200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723075200000",
"number": "1801627393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1036 KINLEY RD STE B",
"city": "IRMO",
"state": "SC",
"postal_code": "290639632",
"telephone_number": "912-541-3738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1036 KINLEY RD STE B",
"city": "IRMO",
"state": "SC",
"postal_code": "290639632",
"telephone_number": "912-541-3738"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROCKET PEDIATRIC THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-08",
"last_updated": "2024-08-08",
"certification_date": "2024-08-08",
"status": "A",
"authorized_official_last_name": "HARMON",
"authorized_official_first_name": "ANNA",
"authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
"authorized_official_telephone_number": "912-541-3738",
"authorized_official_credential": "OTR/L"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irmo, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.