Mary Holland Regenovich, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

3226 Issued in SC

Practice address

1924 Main St
Columbia, SC 29201-2412

Phone

(803) 434-2300

Fax

(803) 254-2611

NPI assigned

Feb 16, 2007

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

Other names 1

• Mary Holland Brumbach Former name

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 and National Provider Directory roles.

• Medically Fragile Children'S Program

  • Medically Fragile Infants and Children Day Care
  • Columbia, SC
  • NPI 1235466244
  NPD (past)

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434931200000",
    "number": "1558405100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 FOREST DR",
            "address_2": "SUITE 200",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292044010",
            "telephone_number": "803-227-8118",
            "fax_number": "803-227-8218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 MAIN ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012412",
            "telephone_number": "803-434-2300",
            "fax_number": "803-254-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGENOVICH",
        "first_name": "MARY",
        "middle_name": "HOLLAND",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2015-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "3226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "BRUMBACH",
            "middle_name": "HOLLAND",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Beth Johnson Reeves, OT
• Heather B Reeves, RPT
• Jeremy Mark Reeves, M.D.
• Shelly Heiser Reeves, P.T.
• Brennan Adare Regan, PA-C
• Regional Health Services LLC
• Regional Hospice Service
• Regional Physician Services South Carolina, P.C.
• Subash Regmi, MD
• Rehab and Geriatrics

• Occupational Therapist in Columbia, SC
• Providers in Columbia, SC by specialty
• Occupational Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; 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.