Active NPI
Marie M Philipp, OTR/L
- Occupational Therapist
- Georgetown, SC
National Provider Identifier
1619285020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3720
- Practice address
- 407 Church St
Suite E
Georgetown, SC 29440-3792 - Phone
- (843) 545-5300
- NPI assigned
- Sep 20, 2010
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 3720 | SC | Primary |
Addresses
Primary practice location
407 Church St
Suite E
Georgetown, SC 29440-3792
Mailing address
908 Pyatt St
Georgetown, SC 29440-2820
Phone (843) 240-3903
Other names 1
- Debra Marie Martin
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3720 | SC | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343260800000",
"number": "1619285020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "908 PYATT ST",
"city": "GEORGETOWN",
"state": "SC",
"postal_code": "294402820",
"telephone_number": "843-240-3903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 CHURCH ST",
"address_2": "SUITE E",
"city": "GEORGETOWN",
"state": "SC",
"postal_code": "294403792",
"telephone_number": "843-545-5300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILIPP",
"first_name": "MARIE",
"middle_name": "M",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-20",
"last_updated": "2012-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "3720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DEBRA",
"last_name": "MARTIN",
"middle_name": "MARIE",
"credential": "OTR/L",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Georgetown, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.