Christy Myjak, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5507 Issued in SC

Practice address

614 Wateree Dr
Charleston, SC 29407-6635

Phone

(774) 721-6252

NPI assigned

Apr 30, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Oceanside Manual Therapies LLC

  • Occupational Therapist
  • Charleston, SC
  • NPI 1033913892
  NPD
• Charleston St LLC

  • Speech-Language Pathologist
  • Charleston, SC
  • NPI 1629777511
  NPD (past)
• Elite Performance Concepts, LLC

  • Clinic/Center
  • Charleston, SC
  • NPI 1548939945
  NPD (past)

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

{
    "created_epoch": "1556582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556582400000",
    "number": "1649834086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 WATEREE DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294076635",
            "telephone_number": "774-721-6252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 WATEREE DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294076635",
            "telephone_number": "774-721-6252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYJAK",
        "first_name": "CHRISTY",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-30",
        "last_updated": "2019-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "5507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Graham Myers, M.D.
• Stephanie Lynn Myers, MD
• Susan Ellen Myers, WHNPC
• Ursula Susan Myers, PH.D.
• Myeyedr Optometry of South Carolina, LLC
• Myndspace Mental Health Education & Consulting, LLC
• Donald L Myrick, MD
• David Pierce Mysona
• Claire Sentilles Nabholz, MD
• Kayla Nacarelli, PA-C

• Occupational Therapist in Charleston, SC
• Providers in Charleston, SC by specialty
• Occupational Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.