Deandra Holloway

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

2126 Highway 9 E Ste C4
Longs, SC 29568-5753

Phone

(843) 734-1076

NPI assigned

Jul 17, 2024

Last updated

Jul 17, 2024By the provider in NPPES

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

Practice roles

Locations

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 by the Beach Inc

  • Occupational Therapist
  • Longs, SC
  • NPI 1225515257
  NPD

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1194563973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 GRESHAM DR",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294407833",
            "telephone_number": "843-240-8553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2126 HIGHWAY 9 E STE C4",
            "city": "LONGS",
            "state": "SC",
            "postal_code": "295685753",
            "telephone_number": "843-734-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "DEANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frederick James Garland, DPM
• Gentle Care Provider LLG
• William Lloyd Hayes Jr., ATC
• Highway Health Services LLC
• Gwanda Hill
• Home Therapy Inc
• John S. Enloe IV, D.C., P.C. (Enloe Chiropractic Life Center)
• Madison Rose Lane
• Devon Rachael Layton, M.S.
• Ji Y Lee, PA-C

• Occupational Therapist in Longs, SC
• Providers in Longs, SC by specialty
• Occupational Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.

Verify at the official NPI Registry.