Active NPI
Megan Ann Mack, OTR/L, MHA
- Occupational Therapist
- Bluffton, SC
National Provider Identifier
1275848848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2875
- Practice address
- 63 River Oaks Cir
Bluffton, SC 29910-8203 - Phone
- (843) 837-2133
- NPI assigned
- Aug 8, 2010
- 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 | 2875 | SC | Primary |
Addresses
Primary practice location
63 River Oaks Cir
Bluffton, SC 29910-8203
Mailing address
63 River Oaks Cir
Bluffton, SC 29910-8203
Phone (843) 837-2133
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2875 | SC | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281225600000",
"number": "1275848848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 RIVER OAKS CIR",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "299108203",
"telephone_number": "843-837-2133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63 RIVER OAKS CIR",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "299108203",
"telephone_number": "843-837-2133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACK",
"first_name": "MEGAN",
"middle_name": "ANN",
"credential": "OTR/L, MHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-08",
"last_updated": "2010-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "2875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bluffton, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.