Individual provider Active NPI

Jillian Sandra Lawton, MS, OTR/L

  • Occupational Therapist
  • Goose Creek, SC
National Provider Identifier
1356057699
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
6887 Issued in SC
Practice address
104 Mallory Dr
Goose Creek, SC 29445-6406
Phone
(843) 996-1471
Fax
(843) 808-6986
NPI assigned
Jan 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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 6887 SC Primary

Addresses

Primary practice location

104 Mallory Dr
Goose Creek, SC 29445-6406

Mailing address

PO Box 1119
Goose Creek, SC 29445-1119
Phone (843) 996-1471

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240918000296 SC Practitioner - Occupational Therapist in Private Practice 9133660129 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
6887SCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Centrum Therapy Services LLC Occupational Therapist CurrentSince Sep 1, 2024 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": "1675036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1356057699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1119",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294451119",
            "telephone_number": "843-996-1471",
            "fax_number": "843-808-6986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MALLORY DR",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294456406",
            "telephone_number": "843-996-1471",
            "fax_number": "843-808-6986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWTON",
        "first_name": "JILLIAN",
        "middle_name": "SANDRA",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-30",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "6887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goose Creek, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.