Individual provider Active NPI

Maureen Michelle Perricone, OTR

  • Occupational Therapist
  • Greenville, SC
National Provider Identifier
1639315898
Registry record updated Dec 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
SC3471 Issued in SC
Practice address
800 Pelham Rd FL 3
Greenville, SC 29615-3300
Phone
(864) 752-3357
NPI assigned
Dec 18, 2008
Last updated
Dec 18, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2008

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 SC3471 SC Primary

Addresses

Primary practice location

800 Pelham Rd FL 3
Greenville, SC 29615-3300

Mailing address

800 Pelham Rd FL 3
Greenville, SC 29615-3300
Phone (864) 752-3357

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171211000124 SC Practitioner - Occupational Therapist in Private Practice 6608134101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Magnolia Medical Group, Inc.Group PAC ID 3779504105, 3 clinicians

Practice addresses (Care Compare)

211 Hillcrest Dr
Laurens, SC 29360-2341
Phone (864) 655-7757

320 Tandem Dr
Greer, SC 29650-4726
Phone (864) 655-7757

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC3471SCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia Medical Group Inc Occupational Therapist CurrentSince Sep 27, 2017 Accepting new patients

Locations

1440 Pelham Rd
Ste A
Greenville, SC 29615
Phone (864) 729-1319

320 Tandem Dr
Greer, SC 29650
Phone (864) 655-7757

211 Hillcrest Dr
Laurens, SC 29360
Phone (864) 346-0391

213 E Butler Rd
Ste E2
Mauldin, SC 29662
Phone (864) 346-0391

Organizations & group practices 1

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": "1229558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229558400000",
    "number": "1639315898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 PELHAM RD FL 3",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153300",
            "telephone_number": "864-752-3357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 PELHAM RD FL 3",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153300",
            "telephone_number": "864-752-3357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRICONE",
        "first_name": "MAUREEN",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-18",
        "last_updated": "2008-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "SC3471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2008; 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.