Active NPI
Micquel W Hutmaker, OTR
- Occupational Therapist
- Mt Pleasant, SC
National Provider Identifier
1194775684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2603
- Practice address
- 601 Mathis Ferry Rd
Mt Pleasant, SC 29464-2623 - Phone
- (843) 884-0212
- Fax
- (843) 884-0565
- NPI assigned
- May 12, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 2603 | SC | Primary |
Addresses
Primary practice location
601 Mathis Ferry Rd
Mt Pleasant, SC 29464-2623
Mailing address
1297 Wild Olive Dr
Mt Pleasant, SC 29464-7478
Phone (843) 216-8714
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TH1639 | 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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2603 | SC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1194775684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1297 WILD OLIVE DR",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294647478",
"telephone_number": "843-216-8714",
"fax_number": "843-884-0565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 MATHIS FERRY RD",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294642623",
"telephone_number": "843-884-0212",
"fax_number": "843-884-0565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUTMAKER",
"first_name": "MICQUEL",
"middle_name": "W",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-12",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "2603",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "TH1639",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mt Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.