Individual provider Active NPI

Lorraine Sullivan Bennett, COTA/L

  • Occupational Therapy Assistant
  • Pamplico, SC
National Provider Identifier
1386109643
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
1319 Issued in SC
Practice address
Hanna Pamplico Elementary School
2131 South Pamplico Highway
Pamplico, SC 29583
Phone
(843) 493-5588
NPI assigned
Jan 31, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 224Z00000X 1319 SC Primary

Addresses

Primary practice location

Hanna Pamplico Elementary School
2131 South Pamplico Highway
Pamplico, SC 29583

Mailing address

2129 Willow Creek Rd
Effingham, SC 29541-3630
Phone (843) 618-0698

Other practice location 1

413 Brockington Rd
Darlington, SC 29532-4998
Phone (843) 493-5588

Other names 1

  • Mrs. Lorraine S Bennett Professional name

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

LicenseStateTypeSpecialty
1319SCMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1386109643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2129 WILLOW CREEK RD",
            "city": "EFFINGHAM",
            "state": "SC",
            "postal_code": "295413630",
            "telephone_number": "843-618-0698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HANNA PAMPLICO ELEMENTARY SCHOOL",
            "address_2": "2131 SOUTH PAMPLICO HIGHWAY",
            "city": "PAMPLICO",
            "state": "SC",
            "postal_code": "29583",
            "telephone_number": "843-493-5588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "413 Brockington Rd",
            "address_purpose": "LOCATION",
            "city": "Darlington",
            "state": "SC",
            "postal_code": "295324998",
            "country_code": "US",
            "telephone_number": "843-493-5588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "LORRAINE",
        "middle_name": "SULLIVAN",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-31",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": "SC",
            "license": "1319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORRAINE",
            "last_name": "BENNETT",
            "middle_name": "S",
            "prefix": "MRS.",
            "credential": "COTA/L",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Pamplico, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; 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.