Andrea Thoreson, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

3732 Issued in SC

Practice address

204 Shady Pines CT
Fountain Inn, SC 29644-9785

Phone

(864) 408-9509

Fax

(864) 335-9036

NPI assigned

Aug 19, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Heaton Pediatric Therapy Inc.

  • Occupational Therapist
  • Fountain Inn, SC
  • NPI 1700255056

  Occupational Therapy Assistant

  NPD (past)

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1124675830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1312",
            "city": "FOUNTAIN INN",
            "state": "SC",
            "postal_code": "296441054",
            "telephone_number": "864-408-9509",
            "fax_number": "864-335-9036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 SHADY PINES CT",
            "city": "FOUNTAIN INN",
            "state": "SC",
            "postal_code": "296449785",
            "telephone_number": "864-408-9509",
            "fax_number": "864-335-9036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORESON",
        "first_name": "ANDREA",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-19",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "SC",
            "license": "3732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Sult, PHARMD
• Anand R Swamy, DO
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• Kyara Thomas
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• Heather Montgomery Vereen, RN

• Occupational Therapy Assistant in Fountain Inn, SC
• Providers in Fountain Inn, SC by specialty
• Occupational Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; 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.