Rachael Carroll, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2896 Issued in SC

Practice address

379 Pinehaven St Ext
Laurens, SC 29360

Phone

(864) 984-6584

NPI assigned

Jan 13, 2010

Last updated

Jan 13, 2010By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1263340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263340800000",
    "number": "1710217856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 CARDINAL DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296096812",
            "telephone_number": "864-593-8515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "379 PINEHAVEN ST EXT",
            "city": "LAURENS",
            "state": "SC",
            "postal_code": "29360",
            "telephone_number": "864-984-6584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "RACHAEL",
        "name_prefix": "Miss",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-13",
        "last_updated": "2010-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "SC",
            "license": "2896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Camantigue, DMD
• Sherri Lynn Camp, RPTA
• Krishana Leigh-Anne Campbell
• Shakera Canty, LPN
• Jimmie Lee Carroll
• Catherine Casey, P.T.
• Kelley Randall Castaneda, PHARMD
• Cecil Y Brown M.D., P.a.
• William Franklin Childers, M.D.
• Hannah Suzanne Childress, RN

• Occupational Therapy Assistant in Laurens, SC
• Providers in Laurens, SC by specialty
• Occupational Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; 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.