Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Patrick Ryan Macconnell, OTD, MS, OTR/L, AT

Individual provider Occupational Therapist · NPI 1639978141

Dr. Patrick Ryan Macconnell, OTD, MS, OTR/L, AT is an Occupational Therapist in Private Practice in Summerville, South Carolina. Qualified in 2010, 16 years ago. Practices with Powerback Rehabilitation LLC, a 616-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
16
Licensed in
SC
In the registry since
2025
What do these letters mean?
OTD — Doctor of Occupational Therapy
The doctoral degree in occupational therapy.
MS — Master of Science
A graduate science degree.
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

231 Ribbon Rd
Summerville, SC 29483-8994
Phone: (843) 822-8858
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 2939 (SC)

Record details

NPI number1639978141
Entity typeIndividual (Type 1)
GenderMale
Credentials OTD , MS , OTR/L , AT
Sole proprietorYes
NPI enumeratedMarch 10, 2025
Last updated in NPPESMarch 10, 2025
Certification dateMarch 10, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Powerback Rehabilitation Llc — 616 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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