Active NPI
Rachael Carroll Wright, COTA
- Occupational Therapy Assistant
- Myrtle Beach, SC
National Provider Identifier
1609382845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 5000
- Practice address
- 101 Brightwater Dr
Myrtle Beach, SC 29579-8275 - Phone
- (843) 903-8300
- NPI assigned
- Dec 26, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 1674 | CT | |
| Occupational Therapy Assistant | 224Z00000X | 5000 | SC | Primary |
Addresses
Primary practice location
101 Brightwater Dr
Myrtle Beach, SC 29579-8275
Mailing address
110 Breakers Dr Unit 522
Myrtle Beach, SC 29579-4419
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5000 | Other | SC | COTA SC LICENSES |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Rachael.Wilson2@genesishcc.com | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1674 | CT | MD | Marriage & Family Therapist |
| 5000 | SC | MD | Speech-Language Pathologist |
Interoperability endpoints
- rachael.wilson2@genesishcc.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682553600000",
"number": "1609382845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 BREAKERS DR UNIT 522",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295794419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 BRIGHTWATER DR",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295798275",
"telephone_number": "843-903-8300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "RACHAEL",
"middle_name": "CARROLL",
"name_prefix": "Mrs.",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-26",
"last_updated": "2023-04-27",
"certification_date": "2023-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "CT",
"license": "1674",
"primary": false
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "SC",
"license": "5000",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COTA SC LICENSES",
"identifier": "5000",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Rachael.Wilson2@genesishcc.com",
"affiliation": "N",
"endpointDescription": "Direct Wok Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct Work Email",
"address_1": "101 Brightwater Dr",
"city": "Myrtle Beach",
"state": "SC",
"country_code": "US",
"postal_code": "295798275",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.