Elizabeth Fields De Herder, OTR L CHT

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

000205 Issued in SC

Practice address

1483 Tobias Gadson Blvd
Suite 205B
Charleston, SC 29407-4641

Phone

(843) 766-6494

Fax

(843) 766-6495

NPI assigned

May 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Miss Elizabeth Anne Fields Former name

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Charleston Hand Therapy CenterGroup PAC ID 5193964419, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Charleston Hand Therapy Center

  • Hand Occupational Therapist
  • Charleston, SC
  • NPI 1124462148
  Medicare reassignment Care Compare group NPD Authorized official
• Charleston Hand Therapy Center

  • Customized Equipment (DME)
  • Charleston, SC
  • NPI 1316707847

  Hand

  NPD

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371168000000",
    "number": "1891743514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1483 TOBIAS GADSON BLVD",
            "address_2": "SUITE 205B",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074641",
            "telephone_number": "843-766-6494",
            "fax_number": "843-766-6495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1483 TOBIAS GADSON BLVD",
            "address_2": "SUITE 205B",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074641",
            "telephone_number": "843-766-6494",
            "fax_number": "843-766-6495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE HERDER",
        "first_name": "ELIZABETH",
        "middle_name": "FIELDS",
        "name_prefix": "Mrs.",
        "credential": "OTR L CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2013-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "SC",
            "license": "000205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TH1008",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "FIELDS",
            "middle_name": "ANNE",
            "prefix": "MISS",
            "credential": "OTR L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carlo Nicola De Cecco, MD, PHD
• Camille De Guzman
• Michael Damaso De Guzman
• Mary Q De Haas
• Ruth Schirmer De Haven, M.D.
• Graciela Beatriz De Jesus, MD
• Bruna De Oliveira Cox X, MD
• Mark Louis De Santis
• Robyn Deabreu
• Jeffery L Deal, M.D.

• Hand Occupational Therapist in Charleston, SC
• Providers in Charleston, SC by specialty
• Hand Occupational Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.