Christina M. Poole

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

5358 Issued in SC

Practice address

204 Shady Pines CT
Fountain Inn, SC 29644-9785

Phone

(644) 089-5098

NPI assigned

Mar 30, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Doyle Chiropractic Inc

  • Chiropractor
  • Simpsonville, SC
  • NPI 1093148454
  NPD (past)

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1184252819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 WINDWOOD ST",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296806586",
            "telephone_number": "864-680-3047"
        },
        {
            "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": "644-089-5098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOLE",
        "first_name": "CHRISTINA",
        "middle_name": "M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-30",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "SC",
            "license": "5537",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "SC",
            "license": "5358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Warren Patrick Perez Perez
• Kimberly Deane Perry, LISW-CP
• Personal Therapy Inc
• Stacy Peters, OTR/L
• Trela Rene Peters
• Taylor Price, COTA/L
• Prisma Health-Upstate (Prisma Health Primary Care Fountain Inn)
• Prisma Health-Upstate (Prisma Health Primary Care Fountain Inn)
• Quillen Manor LLC
• RCG University Division, Inc. (Fresenius Medical Care Fountain Inn - Gray Court)

• 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 22, 2022; 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.