Active NPI
Mary Lucion Scott, OTR/L
- Occupational Therapist
- Sumter, SC
National Provider Identifier
1619524303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5647
- Practice address
- 2980 Hermitage Dr
Sumter, SC 29150-6006 - Phone
- (803) 983-1984
- Fax
- (855) 232-8604
- NPI assigned
- Aug 19, 2019
- 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 | 5647 | SC | Primary |
Addresses
Primary practice location
2980 Hermitage Dr
Sumter, SC 29150-6006
Mailing address
2190 Cory Dr
Sumter, SC 29153-8144
Phone (803) 983-1984
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 |
|---|---|---|---|
| 5647 | SC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611014400000",
"number": "1619524303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2190 CORY DR",
"city": "SUMTER",
"state": "SC",
"postal_code": "291538144",
"telephone_number": "803-983-1984",
"fax_number": "855-232-8604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2980 HERMITAGE DR",
"city": "SUMTER",
"state": "SC",
"postal_code": "291506006",
"telephone_number": "803-983-1984",
"fax_number": "855-232-8604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "MARY",
"middle_name": "LUCION",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-19",
"last_updated": "2021-01-19",
"certification_date": "2021-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "5647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sumter, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.