Individual provider Active NPI

Gretchen S Floyd, OTR/L

  • Specialist
  • Sumter, SC
National Provider Identifier
1669620340
Registry record updated Oct 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
3444 Issued in SC
Practice address
1185 Wilson Hall Rd
Sumter, SC 29150-1842
Phone
(803) 469-3213
Fax
(803) 469-3233
NPI assigned
Sep 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 3444 SC Primary

Addresses

Primary practice location

1185 Wilson Hall Rd
Sumter, SC 29150-1842

Mailing address

1185 Wilson Hall Rd
Sumter, SC 29150-1842
Phone (803) 469-3213

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100225000123 SC Practitioner - Occupational Therapist in Private Practice 4385702315 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3444SCMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sumter Physical Therapy Clinic, LLC CurrentSince Sep 5, 2008 Accepting new patients
McLeod Health Clarendon Past Accepting new patients

Locations

1185 Wilson Hall Rd
Sumter, SC 29150
Phone (803) 469-3213

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": "1220572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288224000000",
    "number": "1669620340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1185 WILSON HALL RD",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501842",
            "telephone_number": "803-469-3213",
            "fax_number": "803-469-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1185 WILSON HALL RD",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501842",
            "telephone_number": "803-469-3213",
            "fax_number": "803-469-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOYD",
        "first_name": "GRETCHEN",
        "middle_name": "S",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-05",
        "last_updated": "2010-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "3444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; 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.