Active NPI
Mary Elizabeth Depew, OT
- Occupational Therapist
- Greenville, SC
National Provider Identifier
1861641383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3807
- Practice address
- 29 N Academy St
Greenville, SC 29601-2629 - Phone
- (864) 331-1350
- NPI assigned
- Sep 9, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | KY-R3999 | KY | |
| Occupational Therapist | 225X00000X | 3807 | SC | Primary |
Addresses
Primary practice location
29 N Academy St
Greenville, SC 29601-2629
Mailing address
1 Independence PT
Suite 212
Greenville, SC 29615-4545
Phone (864) 797-6307
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TH2381 | Medicaid | SC |
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 |
|---|---|---|---|
| 3807 | SC | MD | General Practice Dentistry |
| KY-R3999 | KY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468886400000",
"number": "1861641383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 INDEPENDENCE PT",
"address_2": "SUITE 212",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296154545",
"telephone_number": "864-797-6307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 N ACADEMY ST",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012629",
"telephone_number": "864-331-1350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEPEW",
"first_name": "MARY",
"middle_name": "ELIZABETH",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-09",
"last_updated": "2016-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KY",
"license": "KY-R3999",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "3807",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "TH2381",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
- Dentalworks of Greenville SC, P.C. (DentalWorks)
- Dentist in Greenville LLC
- Dentistry at Pelham Pointe
- Dentistry for Children of South Carolina PC
- Dentnow Corporation Greenville (DentNow Greenville)
- Warren Keith Deponti, D.O.
- Timothy Bradshaw Depp, MD
- David Kirk Depriest, DO
- Dept of Veterans Affairs (Gopc)
- Jeffrey Michael Derbas, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.