Individual provider Active NPI

Gabriel Hallancia, OTR/L

  • Occupational Therapist
  • Seneca, SC
National Provider Identifier
1386177632
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
4742 Issued in SC
Practice address
140 Tokeena Rd
Seneca, SC 29678-1744
Phone
(864) 882-1642
Fax
(864) 888-1411
NPI assigned
Apr 4, 2017
Last updated
Apr 4, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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 4742 SC Primary

Addresses

Primary practice location

140 Tokeena Rd
Seneca, SC 29678-1744

Mailing address

140 Tokeena Rd
Seneca, SC 29678-1744
Phone (864) 882-1642

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210916001081 SC Practitioner - Occupational Therapist in Private Practice 0941607071 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Therapy SolutionsGroup PAC ID 0345519773, 5 clinicians

Practice addresses (Care Compare)

104 Nightingale LN
Greenville, SC 29607-5538
Phone (864) 642-5521

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Total Therapy Services CurrentSince Aug 15, 2021 Accepting new patients
Total Therapy Solutions CurrentSince Aug 15, 2021 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491264000000",
    "number": "1386177632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 TOKEENA RD",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296781744",
            "telephone_number": "864-882-1642",
            "fax_number": "864-888-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 TOKEENA RD",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296781744",
            "telephone_number": "864-882-1642",
            "fax_number": "864-888-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLANCIA",
        "first_name": "GABRIEL",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-04",
        "last_updated": "2017-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "4742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seneca, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; 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.

Verify at the official NPI Registry.