Active NPI
Monica Snipes Berry, OTR/L
- Occupational Therapist
- Latta, SC
National Provider Identifier
1093050080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2558
- Practice address
- 1543 Bethea Ext
Latta, SC 29565-4009 - Phone
- (843) 752-0763
- NPI assigned
- Dec 3, 2012
- Last updated
- Dec 3, 2012
- 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 Therapist | 225X00000X | 2558 | SC | Primary |
Addresses
Primary practice location
1543 Bethea Ext
Latta, SC 29565-4009
Mailing address
1543 Bethea Ext
Latta, SC 29565-4009
Phone (843) 752-0763
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": "1354492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354492800000",
"number": "1093050080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1543 BETHEA EXT",
"city": "LATTA",
"state": "SC",
"postal_code": "295654009",
"telephone_number": "843-752-0763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1543 BETHEA EXT",
"city": "LATTA",
"state": "SC",
"postal_code": "295654009",
"telephone_number": "843-752-0763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRY",
"first_name": "MONICA",
"middle_name": "SNIPES",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-03",
"last_updated": "2012-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "2558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Latta, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.