Jill Grimes

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

1118 Issued in SC

Practice address

1226 Harvester Cir
Myrtle Beach, SC 29579-3292

Phone

(336) 465-6527

NPI assigned

Jun 15, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339718400000",
    "number": "1265795116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 HARVESTER CIR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295793292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 HARVESTER CIR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295793292",
            "telephone_number": "336-465-6527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "JILL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-15",
        "last_updated": "2012-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "SC",
            "license": "1118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neil Bostrom Griffin, MD
• Kira Griffith
• Lucia Griffith, PA-C
• Mary Jane Griffith, MSN, RN, GNP-BC, ACH
• Kristin Griggs
• Mark Grinman, MD
• Rachel Marie Groening, DO
• Thomas Grogan
• Blake James Gronowski, M.ED, LPC
• Kaila Robbins Grove, APRN, FNP-BC

• Occupational Therapy Assistant in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Occupational Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; 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.