Roberta Greene, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

3607 Issued in SC

Practice address

4438 Pamplico Hwy
Florence, SC 29505-8502

Phone

(843) 669-3502

NPI assigned

Jun 11, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1023633344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1473 MCADAMS CT",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294666503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4438 PAMPLICO HWY",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295058502",
            "telephone_number": "843-669-3502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "ROBERTA",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-11",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": "SC",
            "license": "3607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "NA",
            "affiliation": "N",
            "address_1": "4438 Pamplico Hwy",
            "city": "Florence",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295058502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Candice Whitaker Greenan, MD
• Phillip H Greenberg, M.D.
• Stuart A Greenberg, MD
• Howard Nobles Greene, M.D.
• Ralph Emerson Greene III, CRNA
• Greenwood Genetics Center, Inc.
• Zachary Bruce Greenwood
• Gregory V Browning MD,PA.
• Diamond Gregory
• Philip Lide Gregory, PT, DPT, CSCS

• Occupational Therapy Assistant in Florence, SC
• Providers in Florence, SC by specialty
• Occupational Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; 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.