Individual provider Active NPI

Derranita Essonya Finklin, OTR/L

  • Occupational Therapist
  • West Columbia, SC
National Provider Identifier
1619319258
Registry record updated Jul 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3696 Issued in SC
Practice address
1900 Sunset Blvd
West Columbia, SC 29169-5959
Phone
(803) 926-7204
Fax
(803) 926-7206
NPI assigned
Jul 24, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 3696 SC Primary

Addresses

Primary practice location

1900 Sunset Blvd
West Columbia, SC 29169-5959

Mailing address

1900 Sunset Blvd
West Columbia, SC 29169-5959
Phone (803) 926-7204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130903000739 SC Practitioner - Occupational Therapist in Private Practice 4981847316 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Howard University College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Weston Group of South Carolina IncGroup PAC ID 2062651185, 80 clinicians

Practice addresses (Care Compare)

10131 Calvin Hall Rd
Indian Land, SC 29707-5607
Phone (980) 585-9239

1611 Constitution Blvd
Rock Hill, SC 29732-3047
Phone (803) 981-6855

209 Broad St
Camden, SC 29020-4756
Phone (803) 272-4445

2230 Orson Dr
Indian Land, SC 29707-7014
Phone (980) 585-9239

487 Hwy 378
Lexington, SC 29072-9177
Phone (803) 520-0985

5422 Augusta Rd
Lexington, SC 29072-3892
Phone (803) 520-5850

60 Oak Forest Rd
Bluffton, SC 29910-5010
Phone (843) 815-5557

651 Polo Rd
Columbia, SC 29223-2905
Phone (803) 788-9555

872 Singleton Ridge Rd
Conway, SC 29526-1101
Phone (610) 438-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehabilitation Services of South Carolina, LLC Occupational Therapist CurrentSince Oct 17, 2016 Accepting new patients
The Weston Group of South Carolina Inc Occupational Therapist CurrentSince Aug 10, 2015 Accepting new patients
The Sigurd Center for Ortho & Neuro Rehab Occupational Therapist CurrentSince Sep 1, 2013 Accepting new patients
Medsource Inc. Past Accepting new patients
Key Changes Therapy Services, Inc Occupational Therapist PastSince Feb 7, 2018 Accepting new patients

Locations

872 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 347-3050

5422 Augusta Rd
Lexington, SC 29072
Phone (803) 520-5850

1311 Augusta Rd
West Columbia, SC 29169
Phone (803) 926-2919

1900 Sunset Blvd
West Columbia, SC 29169
Phone (803) 250-6833

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374624000000",
    "number": "1619319258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 SUNSET BLVD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291695959",
            "telephone_number": "803-926-7204",
            "fax_number": "803-926-7206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 SUNSET BLVD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291695959",
            "telephone_number": "803-926-7204",
            "fax_number": "803-926-7206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINKLIN",
        "first_name": "DERRANITA",
        "middle_name": "ESSONYA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-24",
        "last_updated": "2013-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "3696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.