Healthcare Provider Details

I. General information

NPI: 1790742880
Provider Name (Legal Business Name): CHILDREN'S THERAPY SPECIALISTS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5069 SPANISH OAKS CT
MURRELLS INLET SC
29576-5448
US

IV. Provider business mailing address

5069 SPANISH OAKS CT
MURRELLS INLET SC
29576-5448
US

V. Phone/Fax

Practice location:
  • Phone: 843-357-6797
  • Fax: 843-357-6935
Mailing address:
  • Phone: 843-357-6797
  • Fax: 843-357-6935

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number10730
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number3495
License Number StateSC
# 3
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number1784
License Number StateSC
# 4
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER LYNN DENNEHY-JENNINGS
Title or Position: OWNER
Credential: M.S., P.T.
Phone: 843-222-0564