Individual provider Active NPI

Janine Namdar, OTR/L

  • Pediatric Occupational Therapist
  • Bluffton, SC
National Provider Identifier
1447402797
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
4615 Issued in SC
Practice address
4 Oliver CT Ste 105
Bluffton, SC 29910-8708
Phone
(843) 706-9367
Fax
(843) 306-4304
NPI assigned
Oct 17, 2008
Last updated
Nov 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 4615 SC Primary
Occupational Therapist 225X00000X 4615 SC

Addresses

Primary practice location

4 Oliver CT Ste 105
Bluffton, SC 29910-8708

Mailing address

4 Oliver CT Ste 105
Bluffton, SC 29910-8708
Phone (843) 706-9367

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
4615SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Limitless Pediatric Solutions Current Accepting new patients

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": "1224201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1447402797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 OLIVER CT STE 105",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299108708",
            "telephone_number": "843-706-9367",
            "fax_number": "843-306-4304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 OLIVER CT STE 105",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299108708",
            "telephone_number": "843-706-9367",
            "fax_number": "843-306-4304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAMDAR",
        "first_name": "JANINE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-17",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "SC",
            "license": "4615",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "4615",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.