Individual provider Active NPI

Devin A Perry, M.S.

  • Occupational Therapist
  • Myrtle Beach, SC
National Provider Identifier
1477959906
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
4538 Issued in SC
Practice address
3620 Happy Woods CT
Myrtle Beach, SC 29588-2925
Phone
(609) 805-3413
NPI assigned
Nov 11, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR00642600 NJ
Occupational Therapist 225X00000X 4538 SC Primary

Addresses

Primary practice location

3620 Happy Woods CT
Myrtle Beach, SC 29588-2925

Mailing address

3620 Happy Woods CT
Myrtle Beach, SC 29588-2925
Phone (609) 805-3413

Other practice location 1

401 Independence Blvd
Sicklerville, NJ 08081-1094
Phone (856) 210-2777

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
46TR00642600NJMDOccupational Therapist
4538SCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Therapeutic Puzzle Occupational Therapist Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1415664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1477959906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 HAPPY WOODS CT",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295882925",
            "telephone_number": "609-805-3413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 HAPPY WOODS CT",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295882925",
            "telephone_number": "609-805-3413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Independence Blvd",
            "address_purpose": "LOCATION",
            "city": "Sicklerville",
            "state": "NJ",
            "postal_code": "080811094",
            "country_code": "US",
            "telephone_number": "856-210-2777",
            "fax_number": "609-228-0678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRY",
        "first_name": "DEVIN",
        "middle_name": "A",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00642600",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "4538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.