NPIMap

Organization Active NPI

Creatability Inc

  • Occupational Therapist
  • Murrells Inlet, SC
National Provider Identifier
1255001582
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
CREATABILITY INC
Practice address
402 Dogwood Dr S
Murrells Inlet, SC 29576-8025
Phone
(770) 330-1061
NPI assigned
Sep 17, 2021
Last updated
Sep 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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

Authorized official

Name
Angela Matthiessen, MSOTNPI 1669707568
Title
Director/Owner
Phone
(770) 330-1061

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X NU Primary

Addresses

Primary practice location

402 Dogwood Dr S
Murrells Inlet, SC 29576-8025

Mailing address

402 Dogwood Dr S
Murrells Inlet, SC 29576-8025

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL creatabilitylearning@gmail.com/116166870376341668901

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1631836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631836800000",
    "number": "1255001582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 DOGWOOD DR S",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295768025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 DOGWOOD DR S",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295768025",
            "telephone_number": "770-330-1061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATABILITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-17",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A",
        "authorized_official_last_name": "MATTHIESSEN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "770-330-1061",
        "authorized_official_credential": "MSOT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "creatabilitylearning@gmail.com/116166870376341668901",
            "affiliation": "N",
            "address_1": "402 Dogwood Dr S",
            "city": "Murrells Inlet",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295768025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Murrells Inlet, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; 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.