Individual provider Active NPI

Beth Yencho

  • Occupational Therapist
  • Mt Pleasant, SC
National Provider Identifier
1669001921
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
1010 Lake Hunter Cir
Mt Pleasant, SC 29464-5417
Phone
(843) 849-5923
NPI assigned
Apr 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

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 Primary

Addresses

Primary practice location

1010 Lake Hunter Cir
Mt Pleasant, SC 29464-5417

Mailing address

1010 Lake Hunter Cir
Mt Pleasant, SC 29464-5417

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address byencho@5ssl.com

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

NPI Registry JSON

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1669001921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 LAKE HUNTER CIR",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294645417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 LAKE HUNTER CIR",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294645417",
            "telephone_number": "843-849-5923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YENCHO",
        "first_name": "BETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-07",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "byencho@5ssl.com",
            "affiliation": "N",
            "address_1": "1010 Lake Hunter Cir",
            "city": "MT Pleasant",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294645417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mt Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.