Organization Active NPI

Sensory 8 Pediatric Therapy, LLC

  • Pediatric Occupational Therapist
  • Indian Land, SC
National Provider Identifier
1942760152
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
SENSORY 8 PEDIATRIC THERAPY, LLC
Practice address
6277-600 Carolina Commons #378
Indian Land, SC 29707-6974
Phone
(267) 730-9411
Fax
(803) 728-3291
NPI assigned
Mar 22, 2019
Last updated
Jan 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Authorized official

Name
Angela Kochobay, OTR/LNPI 1114465424
Title
Occupational Therapist
Phone
(267) 730-9411

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X NU Primary
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

6277-600 Carolina Commons #378
Indian Land, SC 29707-6974

Mailing address

5705 Carter Woods CT
Waxhaw, NC 28173-6974

Other practice location 1

5705 Carter Woods Ct
Waxhaw, NC 28173-6974
Phone (803) 200-2363

Other identifiers 1

IdentifierTypeStateIssuer
GP8975MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 8037283291

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1553212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672963200000",
    "number": "1942760152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5705 CARTER WOODS CT",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281736974",
            "fax_number": "803-728-3291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6277-600 CAROLINA COMMONS #378",
            "city": "INDIAN LAND",
            "state": "SC",
            "postal_code": "297076974",
            "telephone_number": "267-730-9411",
            "fax_number": "803-728-3291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5705 Carter Woods Ct",
            "address_purpose": "LOCATION",
            "city": "Waxhaw",
            "state": "NC",
            "postal_code": "281736974",
            "country_code": "US",
            "telephone_number": "803-200-2363",
            "fax_number": "803-728-3291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SENSORY 8 PEDIATRIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-22",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A",
        "authorized_official_last_name": "KOCHOBAY",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "267-730-9411",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP8975",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "8037283291",
            "affiliation": "N",
            "endpointDescription": "fax",
            "address_1": "5705 Carter Woods Ct",
            "city": "Waxhaw",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281736974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indian Land, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; 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.