Active NPI
Rachell Cimino
- Occupational Therapist
- Myrtle Beach, SC
National Provider Identifier
1265210660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 4761 US-501
Ste #1
Myrtle Beach, SC 29579 - Phone
- (843) 236-9751
- NPI assigned
- Sep 18, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
4761 US-501
Ste #1
Myrtle Beach, SC 29579
Mailing address
1857 Crooked Pine Dr Apt B5
Myrtle Beach, SC 29575-5260
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694995200000",
"number": "1265210660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1857 CROOKED PINE DR APT B5",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295755260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4761 US-501",
"address_2": "STE #1",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "29579",
"telephone_number": "843-236-9751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIMINO",
"first_name": "RACHELL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-18",
"last_updated": "2023-09-18",
"certification_date": "2023-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.