Individual provider Active NPI

Joanne McTavish, OT

  • Occupational Therapist
  • Mount Pleasant, SC
National Provider Identifier
1124136049
Registry record updated Jan 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1641 Issued in SC
Practice address
570 Long Point Rd
Suite 270
Mount Pleasant, SC 29464-7930
Phone
(843) 884-4783
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2014

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 1641 SC Primary

Addresses

Primary practice location

570 Long Point Rd
Suite 270
Mount Pleasant, SC 29464-7930

Mailing address

570 Long Point Rd
Suite #270
Mount Pleasant, SC 29464-7930
Phone (843) 884-4783

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

LicenseStateTypeSpecialty
1641SCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Therapeutics, Inc Past Accepting new patients
Coastal Therapeutics PA Past Accepting new patients
Association for the Blind & Visually Impaired South Carolina Occupational Therapist PastSince Dec 22, 2019 Accepting new patients
Association for the Blind Occupational Therapist Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390867200000",
    "number": "1124136049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 LONG POINT RD",
            "address_2": "SUITE #270",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294647930",
            "telephone_number": "843-884-4783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 LONG POINT RD",
            "address_2": "SUITE 270",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294647930",
            "telephone_number": "843-884-4783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCTAVISH",
        "first_name": "JOANNE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2014-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "1641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; 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.