Individual provider Active NPI

Madilyn Hope Campbell, OTD

  • Occupational Therapist
  • Myrtle Beach, SC
National Provider Identifier
1396527370
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
7028 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
Oct 16, 2023
Last updated
Oct 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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 7028 SC Primary

Addresses

Primary practice location

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

Mailing address

3850 Maypop Cir Unit 208
Myrtle Beach, SC 29588-1391
Phone (864) 593-5110

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
7028SCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Communication Cottage Therapy LLC Occupational Therapist 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, 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": "1697414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1396527370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 MAYPOP CIR UNIT 208",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295881391",
            "telephone_number": "864-593-5110"
        },
        {
            "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": "CAMPBELL",
        "first_name": "MADILYN",
        "middle_name": "HOPE",
        "name_prefix": "Dr.",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "7028",
            "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 Oct 16, 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.