Nathan Bernard Herz, OTD, MBA, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT003999 Issued in GA

Practice address

604 Woodyard Rd
Trenton, SC 29847-2833

Phone

(803) 334-5308

NPI assigned

Mar 10, 2022

Last updated

Mar 10, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration

State licenses

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

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1407504368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 WOODYARD RD",
            "city": "TRENTON",
            "state": "SC",
            "postal_code": "298472833",
            "telephone_number": "803-334-5308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 WOODYARD RD",
            "city": "TRENTON",
            "state": "SC",
            "postal_code": "298472833",
            "telephone_number": "803-334-5308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERZ",
        "first_name": "NATHAN",
        "middle_name": "BERNARD",
        "name_prefix": "Dr.",
        "credential": "OTD, MBA, OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-10",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "631",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT003999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPY",
            "identifier": "OT003999",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPY",
            "identifier": "631",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Connie S Bright
• Sofia Burns
• Gabriela Diaz
• Guiding Light Youth and Family Services
• Mary Catherine Hackenberg, DPT
• Alexandria Holloway
• I Am Cared for LLC
• Chemikia Johnson
• Ellen T Miles
• New Horizon Foundation Inc

• Occupational Therapist in Trenton, SC
• Providers in Trenton, SC by specialty
• Occupational Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; 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.