Active NPI
Melissa Deason Rhea, MS, OTR/L
- Occupational Therapist
- Georgetown, SC
National Provider Identifier
1275614810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3164
- Practice address
- 2018 Church St
Georgetown, SC 29440-2604 - Phone
- (843) 237-4233
- NPI assigned
- Oct 18, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 3164 | SC | Primary |
Addresses
Primary practice location
2018 Church St
Georgetown, SC 29440-2604
Mailing address
2018 Church St
Georgetown, SC 29440-2604
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TH1750 | Medicaid | SC |
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)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Magnolia Medical Group Inc | Occupational Therapist | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471305600000",
"number": "1275614810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2018 CHURCH ST",
"city": "GEORGETOWN",
"state": "SC",
"postal_code": "294402604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2018 CHURCH ST",
"city": "GEORGETOWN",
"state": "SC",
"postal_code": "294402604",
"telephone_number": "843-237-4233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHEA",
"first_name": "MELISSA",
"middle_name": "DEASON",
"name_prefix": "Mrs.",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-18",
"last_updated": "2016-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "3164",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "TH1750",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Georgetown, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.