PALMETTO PEDIATRIC OT, LLC (NPI# 1396064382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396064382 |
| Entity Type | Organization |
| Organization Name | PALMETTO PEDIATRIC OT, LLC |
| Practice Address |
2427 Old Lexington Highway Chapin SC 29036 |
| Practice Telephone | 8033197723 |
| Practice Fax Number | 8039417568 |
| Mailing Telephone | 8033197723 |
| Mailing Fax Number | 8039417568 |
| Enumeration Date | 2010-05-31 |
| Last Update Date | 2018-10-17 |
| Authorized Official Name | HAYLEE D MITCHELL (OWNER, OCCUPATIONAL THERAPIST) |
| Authorized Official Telephone | 8033197723 |
| Authorized Official Credential | OTR/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
3240 | SC | Ambulatory Health Care Facilities |
| Street Address |
2427 OLD LEXINGTON HIGHWAY |
| City | CHAPIN |
| State | SC |
| Zip Code | 29036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295381291 | Palmetto Bone and Joint | Pain Medicine | 104 Ellett Road, Chapin, SC 29036 | 2019-08-15 |
| 1578028270 | Chapin Smiles Dentistry, PC | Dentist | 1221 Chapin Rd., Suite A, Chapin, SC 29036 | 2019-02-06 |
| 1467934810 | Cornerstone Alliance, LLC | Pharmacy | 105 Snapdragon Court Suite A, Chapin, SC 29036 | 2018-09-02 |
| 1922499011 | Chapin Oral and Maxillofacial Surgery, LLC | Dentist | 112 St. Peter's Church Road, Chapin, SC 29036 | 2015-02-10 |
| 1861892077 | Whitney Crowley | Pharmacist | 1419 Chapin Rd, Chapin, SC 29036 | 2014-08-26 |
| 1417370180 | Backdoc, LLC | Chiropractor | 510 Columbia Avenue, Chapin, SC 29036 | 2014-01-30 |
| 1720425895 | Amanda C Harrington | Registered Nurse | 11629 Broad River Road, Chapin, SC 29036 | 2013-05-30 |
| 1801036959 | Nelson Chiropractic Care LLC. | Preferred Provider Organization | 1402 Chapin Rd., Chapin, SC 29036 | 2009-03-03 |
| 1700044658 | Dieter Karl Bartschat | Psychiatry & Neurology | 863 Willow Cove Rd, Chapin, SC 29036 | 2008-05-28 |
| 1346415122 | G V Long D. C. | Chiropractor | 1402 Chapin Rd, Chapin, SC 29036 | 2008-04-23 |
| Find all providers in zip 29036 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114561206 | Teresa White | Clinic/Center | 398 Old South Rd, Duncan, SC 29334-9266 | 2019-10-31 |
| 1144782640 | Williamsburg County Disabilities and Special Needs Board | Clinic/Center | 61 Greenlee St, Kingstree, SC 29556-6136 | 2019-04-03 |
| 1124414495 | Sunshine Pediatric Therapy of South Carolina | Clinic/Center | 5 Ivy Lawn Pl, Greenville, SC 29605-6522 | 2015-04-13 |
| 1225346737 | Carolina Developmental Clinic, LLC | Clinic/Center | 107 Vista Oaks Dr Ste C, Lexington, SC 29072-8230 | 2010-09-17 |
| 1023153996 | Medically Fragile Childrens Program | Clinic/Center | 2750 Speissegger Drive, Suite 108, N Charleston, SC 29405-8701 | 2007-02-20 |
| 1043394976 | Carolina Autism Supported Living Services | Clinic/Center | 4 Carriage Ln Ste 302, Charleston, SC 29407-6050 | 2006-10-25 |
| 1831639459 | Upstate Affiliate Organization | Clinic/Center | 249 N Grove Medical Park Dr, #300, Spartanburg, SC 29303-4227 | 2017-03-01 |
| 1396291407 | Prisma Health-upstate | Clinic/Center | 29 N Academy St, Greenville, SC 29601-2629 | 2016-08-29 |
| 1336695436 | Prisma Health-upstate | Clinic/Center | 29 N Academy St, Greenville, SC 29601-2629 | 2016-08-29 |
| 1073521951 | Greenville Health System | Clinic/Center | 29 N Academy St, Greenville, SC 29601-2629 | 2006-08-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.