Individual provider Active NPI

Chinyere Gill-Smith, OTR/L

  • Occupational Therapist
  • Rock Hill, SC
National Provider Identifier
1366924441
Registry record updated Sep 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1621 Issued in NC
Practice address
2390 127 Murrah Drive
Rock Hill, SC 29732
Phone
(803) 328-6518
Fax
(803) 327-4638
NPI assigned
Sep 5, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1953 SC
Occupational Therapist 225X00000X 1621 NC Primary

Addresses

Primary practice location

2390 127 Murrah Drive
Rock Hill, SC 29732

Mailing address

9200 Glenwater Dr
Charlotte, NC 28262-8557
Phone (704) 549-0807

Other practice location 1

9200 Glenwater Dr
Charlotte, NC 28262-8557
Phone (704) 549-0807 ext. 56343

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

NPI Registry JSON

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536105600000",
    "number": "1366924441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 GLENWATER DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282628557",
            "telephone_number": "704-549-0807",
            "fax_number": "704-503-5481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2390 127 MURRAH DRIVE",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "29732",
            "telephone_number": "803-328-6518",
            "fax_number": "803-327-4638"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9200 Glenwater Dr",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282628557",
            "country_code": "US",
            "telephone_number": "704-549-0807 x56343",
            "fax_number": "704-503-5481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILL-SMITH",
        "first_name": "CHINYERE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-05",
        "last_updated": "2018-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "1953",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "1621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; 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.