Brenda Batten Reagan, MS, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

1498 Issued in SC

Practice address

1320 Eden Rd
Awendaw, SC 29429-5914

Phone

(843) 270-3567

Fax

(843) 856-4932

NPI assigned

Mar 23, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Early Advantage, LLC

  • Pediatric Occupational Therapist
  • Awendaw, SC
  • NPI 1912063660

  Pediatrics

  NPD (past) Authorized official

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384819200000",
    "number": "1023077302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 EDEN RD",
            "city": "AWENDAW",
            "state": "SC",
            "postal_code": "294295914",
            "telephone_number": "843-270-3567",
            "fax_number": "843-856-4932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 EDEN RD",
            "city": "AWENDAW",
            "state": "SC",
            "postal_code": "294295914",
            "telephone_number": "843-270-3567",
            "fax_number": "843-856-4932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAGAN",
        "first_name": "BRENDA",
        "middle_name": "BATTEN",
        "name_prefix": "Mrs.",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2013-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "SC",
            "license": "1498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4022",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TH1465",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lowcountry Paramed LLC
• Lowcountry Theratx LLC
• Leah McConnell, MHSPT
• Palmetto Children'S Therapy, LLC
• Kalonda Pinckney, LPC-A
• SC Wound Solutions LLC
• Courtney Schnorr, PA
• James H Sexton Jr., DMD
• Krystle M Simmons
• Judith Correll Smith, RN

• All providers in Awendaw, SC
• Pediatric Occupational Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; 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.