Active NPI
Jennifer Beth Busch, OTR/L
- Occupational Therapist
- Easley, SC
National Provider Identifier
1821242645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1016
- Practice address
- 1807A E Main St
Easley, SC 29640-3841 - Phone
- (864) 442-7482
- NPI assigned
- Nov 6, 2008
- 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 | 1016 | SC | Primary |
Addresses
Primary practice location
1807A E Main St
Easley, SC 29640-3841
Mailing address
102 Trenton LN
Greer, SC 29650-3563
Phone (864) 877-7064
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1016 | SC | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225929600000",
"number": "1821242645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 TRENTON LN",
"city": "GREER",
"state": "SC",
"postal_code": "296503563",
"telephone_number": "864-877-7064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1807A E MAIN ST",
"city": "EASLEY",
"state": "SC",
"postal_code": "296403841",
"telephone_number": "864-442-7482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSCH",
"first_name": "JENNIFER",
"middle_name": "BETH",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-06",
"last_updated": "2008-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "1016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Easley, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.