Individual provider Active NPI

Danielle Dupree Green, OT

  • Occupational Therapist
  • Columbia, SC
National Provider Identifier
1912459355
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
4854 Issued in SC
Practice address
130 Forum Dr Ste 13
Columbia, SC 29229-7943
Phone
(803) 509-6880
NPI assigned
Nov 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X
Occupational Therapist 225X00000X 4854 SC Primary

Addresses

Primary practice location

130 Forum Dr Ste 13
Columbia, SC 29229-7943

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 702-4389

Other practice location 1

830 Gracern Rd
Columbia, SC 29210-7629
Phone (706) 842-5330

Other practice location 2

SC House Calls Inc
111 Doctor Cir
Columbia, SC 29203
Phone (800) 491-0909

Other practice location 3

1048 Wildwood Centre Dr
Columbia, SC 29229-8420
Phone (706) 842-5330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251003001709 SC Practitioner - Occupational Therapist in Private Practice 6204332653 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

130 Forum Dr
Suite 13
Columbia, SC 29229-7943
Phone (803) 509-6880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4854SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Agilitas USA, Inc Occupational Therapist CurrentSince Dec 15, 2025 Accepting new patients
Benchmark Health Services Occupational Therapist CurrentSince Dec 15, 2025 Accepting new patients
Drayer Physical Therapy-South Carolina, LLC Occupational Therapist CurrentSince Dec 15, 2025 Accepting new patients
Agilitas USA Inc Occupational Therapist CurrentSince Dec 15, 2025 Accepting new patients
Benchmark Healthcare Services, LLC Occupational Therapist CurrentSince Dec 15, 2025 Accepting new patients
Drayer Physical Therapy - South Carolina, LLC Occupational Therapist CurrentSince Dec 15, 2025 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

130 Forum Dr
Ste 13
Columbia, SC 29229
Phone (803) 509-6880

1000 Tanner Ford Blvd
Ste 370
Hanahan, SC 29410
Phone (843) 718-1058

7585 Saint Andrews Rd
Irmo, SC 29063
Phone (803) 749-5031

7955 N Kings Hwy
Ste 330
Myrtle Beach, SC 29572
Phone (843) 945-1815

3032 W Montague Ave
Ste 101
North Charleston, SC 29418
Phone (843) 885-8772

1672 N Main St
Ste 11
Summerville, SC 29486
Phone (843) 289-1456

Interoperability endpoints

  • Direct secure messaging: danielle.green.1@7602.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1478044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1912459355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-702-4389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 FORUM DR STE 13",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292297943",
            "telephone_number": "803-509-6880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "830 Gracern Rd",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292107629",
            "country_code": "US",
            "telephone_number": "706-842-5330",
            "fax_number": "706-842-5340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "SC House Calls Inc",
            "address_2": "111 Doctor Cir",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "29203",
            "country_code": "US",
            "telephone_number": "800-491-0909",
            "fax_number": "706-842-5340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1048 Wildwood Centre Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292298420",
            "country_code": "US",
            "telephone_number": "706-842-5330",
            "fax_number": "706-842-5340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "DANIELLE",
        "middle_name": "DUPREE",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-02",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "4854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.