Active NPI
McKenzie Jewell Endicott
- Occupational Therapist
- Mount Pleasant, SC
National Provider Identifier
1326632910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT.6108
- Practice address
- 1885 Rifle Range Rd
Mount Pleasant, SC 29464-9440 - Phone
- (843) 856-4713
- NPI assigned
- Feb 24, 2021
- Last updated
- Feb 24, 2021
- 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 | OT.6108 | SC | Primary |
Addresses
Primary practice location
1885 Rifle Range Rd
Mount Pleasant, SC 29464-9440
Mailing address
1885 Rifle Range Rd
Mount Pleasant, SC 29464-9440
Phone (843) 856-4713
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 |
|---|---|---|---|
| OT.6108 | SC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614124800000",
"number": "1326632910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1885 RIFLE RANGE RD",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294649440",
"telephone_number": "843-856-4713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1885 RIFLE RANGE RD",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294649440",
"telephone_number": "843-856-4713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENDICOTT",
"first_name": "MCKENZIE",
"middle_name": "JEWELL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-24",
"last_updated": "2021-02-24",
"certification_date": "2021-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "OT.6108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Feb 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.