Bonnie Diane Maybin, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

221 Issued in SC

Practice address

1501 E Greenville St
Anderson, SC 29621-2004

Phone

(864) 226-8356

Fax

(864) 261-6480

NPI assigned

Sep 25, 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

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073614061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3792 HIGHWAY 29 S",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296266719",
            "telephone_number": "864-964-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 E GREENVILLE ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296212004",
            "telephone_number": "864-226-8356",
            "fax_number": "864-261-6480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYBIN",
        "first_name": "BONNIE",
        "middle_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "SC",
            "license": "221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Maurer, LPC/S
• Allison J. Mautz, BA; COTA/L
• Demargas Shaun Maxwell, PHARMD
• Katrina Sharpe Maxwell, FNP-BC
• Anna M. Mayberry, CRNA
• Morgan Rae McCain
• David A McCann, M.D.
• David McCarson
• Erika McCarty
• Johnathan Christopher McCaslan, PA-C

• Occupational Therapy Assistant in Anderson, SC
• Providers in Anderson, 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 Jul 8, 2007; 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.