Active NPI
Ty Peters
- Occupational Therapy Assistant
- Murrells Inlet, SC
National Provider Identifier
1659704393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 3232
- Practice address
- 4269 Crepe Myrtle CT Unit E
Murrells Inlet, SC 29576-4316 - Phone
- (703) 399-6086
- NPI assigned
- Aug 16, 2013
- Last updated
- Aug 16, 2013
- Sex
- Male
- 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 Therapy Assistant | 224Z00000X | 3232 | SC | Primary |
Addresses
Primary practice location
4269 Crepe Myrtle CT Unit E
Murrells Inlet, SC 29576-4316
Mailing address
4269 Crepe Myrtle CT Unit E
Murrells Inlet, SC 29576-4316
Phone (703) 399-6086
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3232 | SC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376611200000",
"number": "1659704393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4269 CREPE MYRTLE CT UNIT E",
"city": "MURRELLS INLET",
"state": "SC",
"postal_code": "295764316",
"telephone_number": "703-399-6086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4269 CREPE MYRTLE CT UNIT E",
"city": "MURRELLS INLET",
"state": "SC",
"postal_code": "295764316",
"telephone_number": "703-399-6086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "TY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-16",
"last_updated": "2013-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "SC",
"license": "3232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murrells Inlet, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.