Active NPI
Denise Santana Addis, COTA/L
- Occupational Therapy Assistant
- Clemson, SC
National Provider Identifier
1033096441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- SC2349
- Practice address
- 500 Downs Loop
Clemson, SC 29631-2035 - Phone
- (864) 654-1155
- NPI assigned
- Aug 18, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | SC2349 | SC | Primary |
Addresses
Primary practice location
500 Downs Loop
Clemson, SC 29631-2035
Mailing address
334 Weeping Willow Dr
Seneca, SC 29672-2495
Phone (864) 723-7395
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC2349 | SC | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755475200000",
"number": "1033096441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "334 WEEPING WILLOW DR",
"city": "SENECA",
"state": "SC",
"postal_code": "296722495",
"telephone_number": "864-723-7395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 DOWNS LOOP",
"city": "CLEMSON",
"state": "SC",
"postal_code": "296312035",
"telephone_number": "864-654-1155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADDIS",
"first_name": "DENISE",
"middle_name": "SANTANA",
"credential": "COTA/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-18",
"last_updated": "2025-08-18",
"certification_date": "2025-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "SC",
"license": "SC2349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clemson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.