Active NPI
Makayla Henderson
- Occupational Therapist
- Charleston, SC
National Provider Identifier
1235019209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 7723
- Practice address
- 3107 Meeting Street Rd
Charleston, SC 29405-7980 - Phone
- (843) 654-7674
- Fax
- (843) 654-1903
- NPI assigned
- Sep 2, 2025
- 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 | 7723 | SC | Primary |
Addresses
Primary practice location
3107 Meeting Street Rd
Charleston, SC 29405-7980
Mailing address
3107 Meeting Street Rd
Charleston, SC 29405-7980
Phone (843) 654-7674
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 |
|---|---|---|---|
| 7723 | SC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beautiful Gate Center | Occupational Therapist | Current | Accepting new patients |
Locations
3107 Meeting Street Rd
North Charleston, SC 29405
Phone (843) 654-7464
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756771200000",
"number": "1235019209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3107 MEETING STREET RD",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294057980",
"telephone_number": "843-654-7674",
"fax_number": "843-654-1903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3107 MEETING STREET RD",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294057980",
"telephone_number": "843-654-7674",
"fax_number": "843-654-1903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "MAKAYLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-02",
"last_updated": "2025-09-02",
"certification_date": "2025-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "7723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.