Individual provider Active NPI

Jennifer Lynn Stell, OTR/L

  • Pediatric Occupational Therapist
  • Myrtle Beach, SC
National Provider Identifier
1386336774
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
6820 Issued in SC
Practice address
5000 Highway 17 Byp S
Myrtle Beach, SC 29588-4500
Phone
(843) 252-0033
Fax
(843) 582-0259
NPI assigned
May 23, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X 6820 SC Primary

Addresses

Primary practice location

5000 Highway 17 Byp S
Myrtle Beach, SC 29588-4500

Mailing address

742 Mink Ave # 205
Murrells Inlet, SC 29576-6300
Phone (843) 252-0033

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
6820SCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Communication Cottage Therapy LLC Multi-Specialty CurrentSince Dec 17, 2023 Accepting new patients

Locations

5000 Highway 17 Byp S
Myrtle Beach, SC 29588
Phone (843) 252-0033

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.

NPI Registry JSON

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1386336774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "742 MINK AVE # 205",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295766300",
            "telephone_number": "843-252-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 HIGHWAY 17 BYP S",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295884500",
            "telephone_number": "843-252-0033",
            "fax_number": "843-582-0259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STELL",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-23",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "SC",
            "license": "6820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.