Individual provider Active NPI

Grace Elizabeth Herlong, OTR

  • Occupational Therapist
  • Mount Pleasant, SC
National Provider Identifier
1295375921
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
378272 Issued in SC
Practice address
1885 Rifle Range Rd
Mt Pleasant, SC 29464-9440
Phone
(843) 856-4700
NPI assigned
Jan 10, 2020
Last updated
Jan 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 378272 SC Primary

Addresses

Primary practice location

1885 Rifle Range Rd
Mt Pleasant, SC 29464-9440

Mailing address

1902 Ion Ave
Sullivans Island, SC 29482-9722
Phone (843) 303-3000

Other practice location 1

1902 Ion Ave
Sullivans Island, SC 29482-9722
Phone (843) 303-3000

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL https://www.linkedin.com/in/gracie-herlong-02670665/ Other
CONNECT URL https://www.linkedin.com/in/gracie-herlong-02670665/ Other

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

State licenses

LicenseStateTypeSpecialty
378272SCMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1295375921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 ION AVE",
            "city": "SULLIVANS ISLAND",
            "state": "SC",
            "postal_code": "294829722",
            "telephone_number": "843-303-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1885 RIFLE RANGE RD",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294649440",
            "telephone_number": "843-856-4700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1902 Ion Ave",
            "address_purpose": "LOCATION",
            "city": "Sullivans Island",
            "state": "SC",
            "postal_code": "294829722",
            "country_code": "US",
            "telephone_number": "843-303-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERLONG",
        "first_name": "GRACE",
        "middle_name": "ELIZABETH",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-10",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "378272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.linkedin.com/in/gracie-herlong-02670665/",
            "affiliation": "N",
            "endpointDescription": "LinkedIn",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "n/a",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "n/a",
            "address_1": "1902 Ion Ave",
            "city": "Sullivans Island",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294829722",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.linkedin.com/in/gracie-herlong-02670665/",
            "affiliation": "N",
            "endpointDescription": "linkedin",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "n/a",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "n/a",
            "address_1": "1902 Ion Ave",
            "city": "Sullivans Island",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294829722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; 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.