Llewellyn Worsham, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

3243 Issued in SC

Practice address

215 Blossom St
Goose Creek, SC 29445-3516

Phone

(843) 323-0174

NPI assigned

Jun 9, 2016

Sex

Male

Sole proprietor

No

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

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.

• Revolution Therapy & Fitness LLC

  • Physical Therapist
  • North Charleston, SC
  • NPI 1427404730

  Occupational Therapy Assistant

  NPD Authorized official

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480204800000",
    "number": "1295184299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 BLOSSOM ST",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294453516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 BLOSSOM ST",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294453516",
            "telephone_number": "843-323-0174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORSHAM",
        "first_name": "LLEWELLYN",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-09",
        "last_updated": "2016-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "SC",
            "license": "3243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasper Dean Wolfe, PHARMD
• Lisa Sylvester Wong, MS
• Sharon Trevelle Woodrum, PHARM.D.
• Kelly Wooten, PTA
• Works of Peace Counseling LLC
• Jaunita Cunningham Wragg, M.P.C.
• Cathy Wyatt
• Kelly Lynn Youngerman, IDC
• Seth Ian Zeigler, PHARMD
• Carrie Kahler Zensen

• Occupational Therapy Assistant in Goose Creek, SC
• Providers in Goose Creek, 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 Nov 27, 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.

Verify at the official NPI Registry.