Active NPI
Michael C Jenkins, OTR/L
- Occupational Therapist
- Summerville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1737
- Practice address
- 1182 Saddlehorn Rd
Summerville, SC 29483-2234 - Phone
- (843) 714-8552
- NPI assigned
- Sep 5, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 | 1737 | SC | Primary |
Addresses
Primary practice location
1182 Saddlehorn Rd
Summerville, SC 29483-2234
Mailing address
1182 Saddlehorn Rd
Summerville, SC 29483-2234
Phone (843) 714-8552
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Medical University of South Carolina College of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
60 Oak Forest Rd
Bluffton, SC 29910-5010
Phone (843) 815-5557
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1737 | SC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Weston Group of South Carolina Inc | Occupational Therapist | Current | Accepting new patients |
Locations
872 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 347-3050
3736 Robert M Grissom Pkwy
Myrtle Beach, SC 29577
Phone (843) 448-9300
1687 Longwood Dr
Orangeburg, SC 29118
Phone (803) 535-0250
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.
-
- Physical Therapist
- Bluffton, SC
- NPI 1073957064
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409875200000",
"number": "1386045649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1182 SADDLEHORN RD",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294832234",
"telephone_number": "843-714-8552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1182 SADDLEHORN RD",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294832234",
"telephone_number": "843-714-8552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "MICHAEL",
"middle_name": "C",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-09-05",
"last_updated": "2014-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "1737",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.