Individual provider Active NPI

Grace Reyes

  • Occupational Therapist
  • Beaufort, SC
National Provider Identifier
1235646126
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
6088 Issued in SC
Practice address
35 Parris Island Gtwy Unit 198
Beaufort, SC 29906-4244
Phone
(843) 575-4722
NPI assigned
Jan 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 18788 FL
Occupational Therapist 225X00000X 6088 SC Primary

Addresses

Primary practice location

35 Parris Island Gtwy Unit 198
Beaufort, SC 29906-4244

Mailing address

1611 Madrid Ave
Port Royal, SC 29935-1921
Phone (843) 276-4896

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

LicenseStateTypeSpecialty
6088SCMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Occukids LLC Occupational Therapist Current Accepting new patients
Florida Pediatric Associates LLC Past Accepting new patients

Locations

35 Parris Island Gtwy
Beaufort, SC 29906
Phone (843) 217-5691

Organizations & group practices 2

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": "1514851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1235646126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 MADRID AVE",
            "city": "PORT ROYAL",
            "state": "SC",
            "postal_code": "299351921",
            "telephone_number": "843-276-4896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 PARRIS ISLAND GTWY UNIT 198",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299064244",
            "telephone_number": "843-575-4722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-02",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "18788",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "6088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.