Active NPI
Jennifer Parrish, PT
- Physical Therapist
- Okatie, SC
National Provider Identifier
1467562124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 103 Okatie Center Blvd N Ste 105
Okatie, SC 29909-3765 - Phone
- (843) 705-4600
- Fax
- (843) 705-4615
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
103 Okatie Center Blvd N Ste 105
Okatie, SC 29909-3765
Mailing address
400 Clyo Shawnee Rd
Springfield, GA 31329-5403
Phone (843) 816-0069
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT017559 | Other | GA | LICENSE |
| 5137 | Other | SC | LICENSE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756339200000",
"number": "1467562124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 CLYO SHAWNEE RD",
"city": "SPRINGFIELD",
"state": "GA",
"postal_code": "313295403",
"telephone_number": "843-816-0069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 OKATIE CENTER BLVD N STE 105",
"city": "OKATIE",
"state": "SC",
"postal_code": "299093765",
"telephone_number": "843-705-4600",
"fax_number": "843-705-4615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARRISH",
"first_name": "JENNIFER",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2025-08-28",
"certification_date": "2025-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "PT017559",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "5137",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Okatie, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.