NPIMap

Organization Active NPI

Pearl Rehabilitation LLC

  • Physical Therapy Assistant
  • N Charleston, SC
National Provider Identifier
1962635656
Registry record updated Aug 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
1008 Issued in SC
Legal business name
PEARL REHABILITATION LLC
Practice address
1273 Remount Rd
N Charleston, SC 29406-3439
Phone
(843) 747-2888
Fax
(843) 747-0001
NPI assigned
Aug 27, 2009
Last updated
Aug 27, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2009

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

Authorized official

Name
Mr. Ronald Kerry White
Title
Owner
Phone
(843) 200-1878

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 949 SC
Physical Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 225200000X 1008 SC Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 3218 SC

Addresses

Primary practice location

1273 Remount Rd
N Charleston, SC 29406-3439

Mailing address

1273 Remount Rd
N Charleston, SC 29406-3439
Phone (843) 747-2888

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251331200000",
    "number": "1962635656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1273 REMOUNT RD",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294063439",
            "telephone_number": "843-747-2888",
            "fax_number": "843-747-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1273 REMOUNT RD",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294063439",
            "telephone_number": "843-747-2888",
            "fax_number": "843-747-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-27",
        "last_updated": "2009-08-27",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "KERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-200-1878",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "949",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "1008",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "3218",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; 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.