Organization Active NPI

Perry Occupational Therapy LLC

  • Pediatric Occupational Therapist
  • North Charleston, SC
National Provider Identifier
1861790354
Registry record updated Aug 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
3529 Issued in SC
Legal business name
PERRY OCCUPATIONAL THERAPY LLC
Practice address
5221 Parkside Dr
North Charleston, SC 29405-4103
Phone
(843) 813-6203
Fax
(843) 212-5839
NPI assigned
Mar 7, 2011
Last updated
Aug 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2016

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

Authorized official

Name
Cora Tardiff, MS, OTR/LNPI 1447485602
Title
Occupational Therapist
Phone
(843) 813-6203

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)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 3529 SC Primary

Addresses

Primary practice location

5221 Parkside Dr
North Charleston, SC 29405-4103

Mailing address

5221 Parkside Dr
North Charleston, SC 29405-4103
Phone (843) 813-6203

National Provider Directory

National Provider Directory

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": "1299456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471824000000",
    "number": "1861790354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5221 PARKSIDE DR",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294054103",
            "telephone_number": "843-813-6203",
            "fax_number": "843-212-5839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5221 PARKSIDE DR",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294054103",
            "telephone_number": "843-813-6203",
            "fax_number": "843-212-5839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRY OCCUPATIONAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-07",
        "last_updated": "2016-08-22",
        "status": "A",
        "authorized_official_last_name": "TARDIFF",
        "authorized_official_first_name": "CORA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "843-813-6203",
        "authorized_official_credential": "MS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "SC",
            "license": "3529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; 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.