Active NPI
Gabrielle Misiaszek
- Occupational Therapist
- Myrtle Beach, SC
National Provider Identifier
1184217259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6104
- Practice address
- 4761 Highway 501 Ste 1
Myrtle Beach, SC 29579-9457 - Phone
- (843) 455-7505
- NPI assigned
- Feb 18, 2021
- Last updated
- Sep 22, 2024
- Sex
- Female
- 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 | 6104 | SC | Primary |
Addresses
Primary practice location
4761 Highway 501 Ste 1
Myrtle Beach, SC 29579-9457
Mailing address
PO Box 1523
Little River, SC 29566-1523
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 |
|---|---|---|---|
| 6104 | SC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Consortium Inc. | Past | Accepting new patients |
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.
-
- Speech-Language Pathologist
- Myrtle Beach, SC
- NPI 1467611756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726963200000",
"number": "1184217259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1523",
"city": "LITTLE RIVER",
"state": "SC",
"postal_code": "295661523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4761 HIGHWAY 501 STE 1",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295799457",
"telephone_number": "843-455-7505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISIASZEK",
"first_name": "GABRIELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-18",
"last_updated": "2024-09-22",
"certification_date": "2024-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "6104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.