Active NPI
Roger Paul Guilbert, OTR/L
- Occupational Therapist
- Columbia, SC
National Provider Identifier
1154429124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1816
- Practice address
- 7601 Parklane Rd
Columbia, SC 29223-6122 - Phone
- (803) 741-9090
- Fax
- (803) 741-1914
- NPI assigned
- Sep 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 1816 | SC | Primary |
Addresses
Primary practice location
7601 Parklane Rd
Columbia, SC 29223-6122
Mailing address
109 Birch Hollow Dr
Columbia, SC 29229-8207
Phone (803) 865-4077
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TH1474 | Medicaid | SC |
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 |
|---|---|---|---|
| 1816 | SC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Accelecare Wound Professionals of South Carolina, PC | Past | Accepting new patients | |
| NHC Healthcare-Parklane LLC | 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.
-
- Skilled Nursing Facility
- Columbia, SC
- NPI 1376580936
-
- Family Medicine Physician
- Bellevue, WA
- NPI 1225387335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1154429124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 BIRCH HOLLOW DR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292298207",
"telephone_number": "803-865-4077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7601 PARKLANE RD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292236122",
"telephone_number": "803-741-9090",
"fax_number": "803-741-1914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUILBERT",
"first_name": "ROGER",
"middle_name": "PAUL",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "1816",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "TH1474",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.