Christy Rae Vineberg, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

536 Old Howell Rd
Greenville, SC 29615-1969

Phone

(864) 244-3626

NPI assigned

Oct 6, 2017

Last updated

Oct 6, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Christy Favinger Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1507248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507248000000",
    "number": "1366952038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4002 N WARNER RD",
            "city": "LAFAYETTE HILL",
            "state": "PA",
            "postal_code": "194441409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 OLD HOWELL RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296151969",
            "telephone_number": "864-244-3626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINEBERG",
        "first_name": "CHRISTY",
        "middle_name": "RAE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-06",
        "last_updated": "2017-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTY",
            "last_name": "FAVINGER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sharanya Vijaykumar, MD
• Laura Viles, LPC, MED
• Rebecca Anne Vilsaint, M.S. CCC-SLP
• Chelsea Vincke
• Nina S Vincoff, MD
• Thomas William Vinegar
• Vineyard Dental Group LLC
• Gladys Evelyn Vining
• Alexandra Vinson
• Alexis Vinson

• Occupational Therapist in Greenville, SC
• Providers in Greenville, SC by specialty
• Occupational Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2017; 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.