Jamille Segarra Sanchez, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

10310 Issued in NC

Practice address

1038 Shorthill LN
Fort Mill, SC 29715-0170

Phone

(305) 300-9166

NPI assigned

Dec 20, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jamille Marie Segarra Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Therapy World

  • Occupational Therapist
  • Fort Mill, SC
  • NPI 1770091670
  NPD Authorized official
• Complete Rehabilitation and Sports Physical Therapy, PC

  • Physical Therapist
  • Ronkonkoma, NY
  • NPI 1811097306
  NPD (past)

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

{
    "created_epoch": "1482192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1255876744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1038 SHORTHILL LN",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297150170",
            "telephone_number": "305-300-9166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1038 SHORTHILL LN",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297150170",
            "telephone_number": "305-300-9166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "JAMILLE",
        "middle_name": "SEGARRA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-20",
        "last_updated": "2023-11-27",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NC",
            "license": "10310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jamille.sanchez@mytherapyworld.com",
            "affiliation": "Y",
            "endpointDescription": "work email address",
            "affiliationName": "Therapy World",
            "address_1": "1038 Shorthill Ln",
            "city": "Fort Mill",
            "state": "SC",
            "country_code": "US",
            "postal_code": "297150170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JAMILLE",
            "last_name": "SEGARRA",
            "middle_name": "MARIE",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hannah L Russell, PHARMD
• Brandi Bence Ruth, BCBA
• Kelly Williams Rydell, FNP
• Bailey Sage, RBT
• Jared A Sams, DC
• Julia Sander, LMSW
• Carmen Sanders, RBT
• Justin Sanders
• Sankofa Therapeutic Concepts, LLC
• Sas Healthcare

• Pediatric Occupational Therapist in Fort Mill, SC
• Providers in Fort Mill, SC by specialty
• Pediatric Occupational Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.