Individual provider Active NPI

Cassie Harbin, COTA/L

  • Low Vision Occupational Therapy Assistant
  • Bluffton, SC
National Provider Identifier
1508338591
Registry record updated Jan 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Occupational Therapy AssistantTaxonomy code 224ZL0004X
License
4845 Issued in SC
Practice address
3039 Okatie Hwy
Bluffton, SC 29909-5101
Phone
(843) 705-8220
NPI assigned
Jan 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Low Vision Occupational Therapy Assistant 224ZL0004X 4845 SC Primary

Addresses

Primary practice location

3039 Okatie Hwy
Bluffton, SC 29909-5101

Mailing address

10193 Oakwood St
Byesville, OH 43723-9558

Other identifiers 1

IdentifierTypeStateIssuer
4845OtherSOUTH CAROLINA THERAPY BOARD

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": "1546300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546300800000",
    "number": "1508338591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10193 OAKWOOD ST",
            "city": "BYESVILLE",
            "state": "OH",
            "postal_code": "437239558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3039 OKATIE HWY",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299095101",
            "telephone_number": "843-705-8220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARBIN",
        "first_name": "CASSIE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-01",
        "last_updated": "2019-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224ZL0004X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant, Low Vision",
            "state": "SC",
            "license": "4845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTH CAROLINA THERAPY BOARD",
            "identifier": "4845",
            "state": null
        }
    ],
    "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 Jan 1, 2019; 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.