Individual provider Active NPI

Brianna Elizabeth Vanderhoof

  • Occupational Therapist
  • West Columbia, SC
National Provider Identifier
1639837305
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
6328 Issued in SC
Practice address
3410 Sunset Blvd
West Columbia, SC 29169-3042
Phone
(864) 757-9918
Fax
(864) 757-9921
NPI assigned
Nov 30, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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 6328 SC Primary

Addresses

Primary practice location

3410 Sunset Blvd
West Columbia, SC 29169-3042

Mailing address

219 Gerald Dr
Simpsonville, SC 29681-4111
Phone (864) 757-9918

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231018003998 SC Practitioner - Occupational Therapist in Private Practice 0547615023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3250 Harden St Ext
Suite 100
Columbia, SC 29203-6842
Phone (803) 509-6389

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy-South Carolina, LLC Occupational Therapist CurrentSince Sep 4, 2023 Accepting new patients
Drayer Physical Therapy - South Carolina, LLC Occupational Therapist CurrentSince Sep 4, 2023 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

3250 Harden Street Ext
Ste 100
Columbia, SC 29203
Phone (803) 509-6389

7585 Saint Andrews Rd
Irmo, SC 29063
Phone (803) 749-5031

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1639837305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 GERALD DR",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296814111",
            "telephone_number": "864-757-9918",
            "fax_number": "864-757-9921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 SUNSET BLVD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693042",
            "telephone_number": "864-757-9918",
            "fax_number": "864-757-9921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERHOOF",
        "first_name": "BRIANNA",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "6328",
            "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 Nov 30, 2021; 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.