Cheryl Lynn Gillispie

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

5065 Issued in SC

Practice address

157 Home Ave
Darlington, SC 29532-7625

Phone

(843) 393-2867

NPI assigned

Jun 22, 2020

Last updated

Jun 22, 2020By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1750907168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 W LYDIA HWY",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295506406",
            "telephone_number": "941-666-0438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 HOME AVE",
            "city": "DARLINGTON",
            "state": "SC",
            "postal_code": "295327625",
            "telephone_number": "843-393-2867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLISPIE",
        "first_name": "CHERYL",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-22",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "SC",
            "license": "5065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genesis Healthcare, Inc. (Pee Dee Health Care)
• Genesis Healthcare, Inc. (Genesis Healthcare Darlington)
• Genesis Healthcare, Inc. (Pee Dee Health Care)
• Gentle Care Adult Day Health Services
• Melva Gibeau, NP AND CNS
• Nancy Ann Gordon, PTA
• Amy Elizabeth Grant, COTA/L
• Kathleen Gray
• Cathy M Gregory, APRN
• James Ralph Harris

• Occupational Therapy Assistant in Darlington, SC
• Providers in Darlington, 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 Jun 22, 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.