Active NPI
Brandi Reilly
- Student in an Organized Health Care Education/Training Program
- North Charleston, SC
National Provider Identifier
1093558645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 8142 Long Shadow LN
North Charleston, SC 29406-9770 - Phone
- (843) 469-8486
- NPI assigned
- Jun 13, 2024
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
8142 Long Shadow LN
North Charleston, SC 29406-9770
Mailing address
Musc Division of Occupational Therapy
151-A Rutledge Ave, MSC 962
Charleston, SC 29425
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": "1718236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1093558645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MUSC DIVISION OF OCCUPATIONAL THERAPY",
"address_2": "151-A RUTLEDGE AVE, MSC 962",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "29425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8142 LONG SHADOW LN",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294069770",
"telephone_number": "843-469-8486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REILLY",
"first_name": "BRANDI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-13",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.