Individual provider Active NPI

Emma Maclaine Hanvey, OTD, OTR/L

  • Occupational Therapist
  • North Charleston, SC
National Provider Identifier
1114761103
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
7228 Issued in SC
Practice address
4105 Faber Place Dr Ste 420
North Charleston, SC 29405-8594
Phone
(843) 894-7374
NPI assigned
Jun 24, 2024
Last updated
Jun 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 7228 SC Primary

Addresses

Primary practice location

4105 Faber Place Dr Ste 420
North Charleston, SC 29405-8594

Mailing address

214 Brookridge Dr
West Union, SC 29696-3031
Phone (864) 784-5106

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

LicenseStateTypeSpecialty
7228SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Kidscare Home Health of South Carolina, LLC CurrentSince Jun 30, 2024 Accepting new patients

Locations

4105 Faber Place Dr
Ste 420
North Charleston, SC 29405
Phone (843) 894-7347

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1114761103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 BROOKRIDGE DR",
            "city": "WEST UNION",
            "state": "SC",
            "postal_code": "296963031",
            "telephone_number": "864-784-5106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 FABER PLACE DR STE 420",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294058594",
            "telephone_number": "843-894-7374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANVEY",
        "first_name": "EMMA",
        "middle_name": "MACLAINE",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "7228",
            "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 Jun 24, 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.

Verify at the official NPI Registry.