Erin Elizabeth Hicks, OTR/L

Individual provider Active NPI Occupational Therapist · Camden, SC

NPI 1801565619 · NPPES record last updated Sep 7, 2021

Key facts

NPI
1801565619
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
6233 (SC)
Practice address
301 E Dekalb St # B
Camden, SC 29020-4495
Phone
(803) 432-2432
Fax
(803) 432-1779
NPI assigned
Sep 7, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Medicare Care Compare profile

Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Carolina Sports Medicine and Orthopaedic Center (43 clinicians)

Practice addresses (Care Compare)

2760 Tricom St
North Charleston, SC 29406-9169
Phone (843) 300-8585

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100 (group)
Promoting interoperability
96
Improvement activities
40

Medicare participation

Medicare fee-for-service enrollment
Enrolled in SC

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20210914000598 SC Practitioner - Occupational Therapist in Private Practice 1759787914 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
6233SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ih3 Physcial Therapy Current
since Sep 12, 2021
Accepting new patients
Pro-Motion Physical Therapy of Camden, SC, LLC Current
since Sep 12, 2021
Accepting new patients
South Carolina Sports Medicine & Orthopaedic Center Current
since Feb 21, 2022
Accepting new patients

Locations

301 E DeKalb St
#B
Camden, SC 29020
Phone (803) 432-2432

148 Sauls St
Ste B
Lake City, SC 29560
Phone (843) 374-0185

2760 Tricom St
North Charleston, SC 29406
Phone (843) 300-8585

9100 Medcom St
North Charleston, SC 29406
Phone (843) 569-3367

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1516/brand/1/csg/1/fhir/r4

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 6233 SC Yes

Addresses

Primary practice location

301 E Dekalb St # B
Camden, SC 29020-4495

Mailing address

148 Sauls St Ste B
Lake City, SC 29560-2677
Phone (843) 374-0185

Other practice location 1

610 W Palmetto St
Florence, SC 29501-4302
Phone (843) 407-0377

Other names

  • Erin Pyles Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 7, 2021.

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1801565619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 SAULS ST STE B",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295602677",
            "telephone_number": "843-374-0185",
            "fax_number": "843-374-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E DEKALB ST # B",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290204495",
            "telephone_number": "803-432-2432",
            "fax_number": "803-432-1779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 W Palmetto St",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "SC",
            "postal_code": "295014302",
            "country_code": "US",
            "telephone_number": "843-407-0377",
            "fax_number": "843-799-1944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HICKS",
        "first_name": "ERIN",
        "middle_name": "ELIZABETH",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-07",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "6233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "PYLES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Camden, SC

All providers in Camden, SC · Occupational Therapist in South Carolina

Sources for this page

Verify at the official NPI Registry.