Active NPI
Abbey Jaymes Tucker, OT
- Occupational Therapist
- Florence, SC
National Provider Identifier
1710694427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6690
- Practice address
- 1261 Celebration Blvd
Florence, SC 29501-5499 - Phone
- (843) 229-5813
- Fax
- (843) 662-3612
- NPI assigned
- Nov 2, 2022
- Sex
- Female
- 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 Therapist | 225X00000X | 6690 | SC | Primary |
Addresses
Primary practice location
1261 Celebration Blvd
Florence, SC 29501-5499
Mailing address
PO Box 12057
Florence, SC 29504-2057
Phone (843) 229-5813
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 |
|---|---|---|---|
| 6690 | SC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667347200000",
"number": "1710694427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12057",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295042057",
"telephone_number": "843-229-5813",
"fax_number": "843-662-3612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1261 CELEBRATION BLVD",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295015499",
"telephone_number": "843-229-5813",
"fax_number": "843-662-3612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "ABBEY",
"middle_name": "JAYMES",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-02",
"last_updated": "2022-11-02",
"certification_date": "2022-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "6690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Florence, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.