Individual provider Active NPI

Julia B Hetherington, MHS OTR CHT

  • Occupational Therapist
  • Beaufort, SC
National Provider Identifier
1255315024
Registry record updated Sep 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1092 Issued in SC
Practice address
18 Professional Village Circle
Beaufort, SC 29907
Phone
(843) 521-9673
Fax
(843) 986-9369
NPI assigned
Dec 5, 2005
Last updated
Sep 22, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1092 SC Primary

Addresses

Primary practice location

18 Professional Village Circle
Beaufort, SC 29907

Mailing address

18 Professional Village Circle
Beaufort, SC 29907
Phone (843) 521-9673

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
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316649600000",
    "number": "1255315024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 PROFESSIONAL VILLAGE CIRCLE",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "29907",
            "telephone_number": "843-521-9673",
            "fax_number": "843-986-9369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 PROFESSIONAL VILLAGE CIRCLE",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "29907",
            "telephone_number": "843-521-9673",
            "fax_number": "843-986-9369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HETHERINGTON",
        "first_name": "JULIA",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "MHS OTR CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-05",
        "last_updated": "2011-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "1092",
            "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 Sep 22, 2011; 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.