Active NPI
Dorothy Gregory
- Occupational Therapist
- Myrtle Beach, SC
National Provider Identifier
1104248434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3969
- Practice address
- 3620 Happy Woods CT
Myrtle Beach, SC 29588-2925 - Phone
- (843) 293-2246
- NPI assigned
- Jan 6, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0119006041 | VA | |
| Occupational Therapist | 225X00000X | 3969 | SC | Primary |
Addresses
Primary practice location
3620 Happy Woods CT
Myrtle Beach, SC 29588-2925
Mailing address
3620 Happy Woods CT
Myrtle Beach, SC 29588-2925
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3969 | SC | MD | Occupational Therapist |
| 0119006041 | VA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491177600000",
"number": "1104248434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3620 HAPPY WOODS CT",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295882925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3620 HAPPY WOODS CT",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295882925",
"telephone_number": "843-293-2246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREGORY",
"first_name": "DOROTHY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-06",
"last_updated": "2017-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119006041",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "3969",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.