Active NPI
Carly Tucker, M.S. OTR/L
- Occupational Therapist
- Greenville, SC
National Provider Identifier
1831623628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5087
- Practice address
- 10 Fountainview Ter
Greenville, SC 29607-4060 - Phone
- (864) 528-5501
- NPI assigned
- Apr 18, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 9967 | NC | |
| Occupational Therapist | 225X00000X | 5087 | SC | Primary |
Addresses
Primary practice location
10 Fountainview Ter
Greenville, SC 29607-4060
Mailing address
356 Silver CT
York, SC 29745-9404
Other practice location 1
752 E Center Ave
Mooresville, NC 28115-2591
Phone (704) 663-3448
Other practice location 2
345 Five Forks Rd
Simpsonville, SC 29681
Phone (864) 412-4700
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | carly.higham@genesishcc.com |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9967 | NC | MD | Physical Therapist |
| 5087 | SC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582156800000",
"number": "1831623628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "356 SILVER CT",
"city": "YORK",
"state": "SC",
"postal_code": "297459404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 FOUNTAINVIEW TER",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296074060",
"telephone_number": "864-528-5501"
}
],
"practiceLocations": [
{
"address_1": "752 E Center Ave",
"address_purpose": "LOCATION",
"city": "Mooresville",
"state": "NC",
"postal_code": "281152591",
"country_code": "US",
"telephone_number": "704-663-3448",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "345 Five Forks Rd",
"address_purpose": "LOCATION",
"city": "Simpsonville",
"state": "SC",
"postal_code": "29681",
"country_code": "US",
"telephone_number": "864-412-4700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TUCKER",
"first_name": "CARLY",
"credential": "M.S. OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-18",
"last_updated": "2020-02-20",
"certification_date": "2020-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "9967",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "5087",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "carly.higham@genesishcc.com",
"affiliation": "N",
"address_1": "10 Fountainview Ter",
"city": "Greenville",
"state": "SC",
"country_code": "US",
"postal_code": "296074060",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.