ORIGIN PELVIC HEALTH AND OCCUPATIONAL THERAPY LLC
NPI 1104683168
Clinic/Center - Rehabilitation in Port Royal, SC

Active since March 05, 2024
1718 RIBAUT RD, PORT ROYAL, SC 29935(843) 812-1958 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 21, 2025, Mar 5, 2024 (2 updates tracked since 2024).

About Origin Pelvic Health And Occupational Therapy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ORIGIN PELVIC HEALTH AND OCCUPATIONAL THERAPY LLC (NPI 1104683168) is a healthcare organization registered as a rehabilitation in Port Royal, South Carolina and active in the NPI registry since March 2024. The organization lists Emily Kimmins, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104683168
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NameORIGIN PELVIC HEALTH AND OCCUPATIONAL THERAPY LLC
Location Address1718 RIBAUT RDPort Royal, SC 29935-1927
Mailing Address116 Grange LnBeaufort, SC 29907 · (843) 812-1958
Organization SubpartNo
Authorized OfficialEmily KimminsCeo · (843) 812-1958
Enumeration DateMarch 5, 2024
Last NPPES UpdateMay 21, 20252 updates tracked since enumeration
NPPES CertifiedMay 21, 2025
NPI 1104683168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
Also ListedOccupational TherapistTaxonomy 225X00000X
1718 RIBAUT RD, Port Royal, SC 29935

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1718 RIBAUT RD
PORT ROYAL, SC 29935

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Origin Pelvic Health And Occupational Therapy LLC's NPI number?

The NPI number for Origin Pelvic Health And Occupational Therapy LLC is 1104683168. It was assigned to this organization in the NPPES registry on March 5, 2024.

Where is Origin Pelvic Health And Occupational Therapy LLC located?

Origin Pelvic Health And Occupational Therapy LLC is located at 1718 Ribaut Rd, Port Royal, SC 29935. The listed phone number is (843) 812-1958.

What is Origin Pelvic Health And Occupational Therapy LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.

When was this NPI record last updated?

The NPPES record for Origin Pelvic Health And Occupational Therapy LLC was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.