Active NPI
Schayla Danyell Axson, OTR/L
- Occupational Therapist
- Goose Creek, SC
National Provider Identifier
1104258953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3863
- Practice address
- 7 S Alliance Dr
Suite 102a
Goose Creek, SC 29445-7269 - Phone
- (843) 569-2303
- NPI assigned
- Aug 4, 2013
- Sex
- Female
- Sole proprietor
- No
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 | 3863 | SC | Primary |
Addresses
Primary practice location
7 S Alliance Dr
Suite 102a
Goose Creek, SC 29445-7269
Mailing address
7 S Alliance Dr
Suite 102a
Goose Creek, SC 29445-7269
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3863 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proactive Therapy of South Carolina Inc | Past | Accepting new patients | |
| Select Physical Therapy Holdings Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rehabilitation Clinic/Center
- Mount Pleasant, SC
- NPI 1164057048
-
- Physical Therapy Clinic/Center
- Ashland, VA
- NPI 1174591218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375574400000",
"number": "1104258953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 S ALLIANCE DR",
"address_2": "SUITE 102A",
"city": "GOOSE CREEK",
"state": "SC",
"postal_code": "294457269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 S ALLIANCE DR",
"address_2": "SUITE 102A",
"city": "GOOSE CREEK",
"state": "SC",
"postal_code": "294457269",
"telephone_number": "843-569-2303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AXSON",
"first_name": "SCHAYLA",
"middle_name": "DANYELL",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-04",
"last_updated": "2013-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "3863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goose Creek, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.