Active NPI
D'Mariea Lamar Caleb Green, OTD, OTR
- Occupational Therapist
- Bluffton, SC
National Provider Identifier
1043043615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 11 Sunny Glen Dr
Bluffton, SC 29910-5843 - Phone
- (909) 362-7388
- NPI assigned
- Aug 20, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | |||
| Occupational Therapist | 225X00000X | CA | Primary |
Addresses
Primary practice location
11 Sunny Glen Dr
Bluffton, SC 29910-5843
Mailing address
11 Sunny Glen Dr
Bluffton, SC 29910-5843
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724544000000",
"number": "1043043615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 SUNNY GLEN DR",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "299105843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 SUNNY GLEN DR",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "299105843",
"telephone_number": "909-362-7388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "D'MARIEA",
"middle_name": "LAMAR CALEB",
"credential": "OTD, OTR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-08-20",
"last_updated": "2024-08-25",
"certification_date": "2024-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bluffton, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.