Courtney E Jarrard, OT

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

2776 Issued in SC

Practice address

171 Ashley Ave
Charleston, SC 29425-0001

Phone

(843) 792-3481

NPI assigned

Aug 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Coastal Play 2 Grow Therapy, LLC

  • Physical Therapist
  • Charleston, SC
  • NPI 1750828364
  Medicare reassignment NPD Authorized official
• Kidz Play, LLC

  • Pediatric Occupational Therapist
  • Mt Pleasant, SC
  • NPI 1851550610

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217203200000",
    "number": "1669484093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 MATHIS FERRY RD",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294642616",
            "telephone_number": "843-568-4786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 ASHLEY AVE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294250001",
            "telephone_number": "843-792-3481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARRARD",
        "first_name": "COURTNEY",
        "middle_name": "E",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2008-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "SC",
            "license": "2776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TH1529",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacob Jarecke, MD
• Lauren Grace Jarman, ACNPC-AG
• Sheldon Craig Jarmon
• Amber M Jarnecke, PHD
• Beth Ann Jarowyi, RDH, CDA
• Merry Teague Jarrard, MD
• William Howell Jarrard III
• Candace Jaruzel, CRNA
• Amber Marie Jarvis, COTA
• Jason H. Cohen, DMD, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; 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.