Active NPI
Roger Scott Van Duinen, OTR
- Occupational Therapist
- Anderson, SC
National Provider Identifier
1407934540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1618
- Practice address
- 100 Healthy Way
Anderson, SC 29621-2067 - Phone
- (864) 261-3099
- NPI assigned
- Nov 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1618 | SC | Primary |
Addresses
Primary practice location
100 Healthy Way
Anderson, SC 29621-2067
Mailing address
610 Jackson SQ
Anderson, SC 29625-2458
Phone (864) 226-2247
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1618 | SC | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407934540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 JACKSON SQ",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296252458",
"telephone_number": "864-226-2247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HEALTHY WAY",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296212067",
"telephone_number": "864-261-3099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN DUINEN",
"first_name": "ROGER",
"middle_name": "SCOTT",
"name_prefix": "Mr.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "1618",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anderson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.