Jordan Haley Galloway

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

3737 Issued in SC

Practice address

719 N Main St
Marion, SC 29571-2517

Phone

(843) 423-1811

NPI assigned

Aug 15, 2017

Last updated

Aug 15, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Marion County School District

  • Local Education Agency (LEA)
  • Marion, SC
  • NPI 1083976435
  NPD (past)
• Marion School District One

  • Local Education Agency (LEA)
  • Marion, SC
  • NPI 1235182825
  NPD (past)

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502755200000",
    "number": "1447776117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 KIRBY FARM DR",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295068901",
            "telephone_number": "843-496-9146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 N MAIN ST",
            "city": "MARION",
            "state": "SC",
            "postal_code": "295712517",
            "telephone_number": "843-423-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLOWAY",
        "first_name": "JORDAN",
        "middle_name": "HALEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-15",
        "last_updated": "2017-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "SC",
            "license": "3737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Franklin Home Health Agency
• Christiana Franza, PHARMD
• Mary Jo Fuller, RPH
• Sharon D Fuller
• Kathy Funderburk
• Janel Garrett Vaught, OTR/L
• Allison Germaine Glasscho
• Tequila S Gordon-Jones
• Christina Lyn Gray, LMSW
• Kristen Dozier Gray, NP

• Occupational Therapy Assistant in Marion, SC
• Providers in Marion, SC by specialty
• Occupational Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2017; 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.