Individual provider Active NPI

Engele Richardson Cockcroft, M.ED., OTR/L

  • Occupational Therapist
  • Summerville, SC
National Provider Identifier
1942486063
Registry record updated Jan 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2213 Issued in SC
Practice address
112 Carriage Ride LN
Summerville, SC 29485-7864
Phone
(843) 817-0732
NPI assigned
Jan 18, 2008
Last updated
Jan 18, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2213 SC Primary

Addresses

Primary practice location

112 Carriage Ride LN
Summerville, SC 29485-7864

Mailing address

112 Carriage Ride LN
Summerville, SC 29485-7864
Phone (843) 817-0732

Other identifiers 1

IdentifierTypeStateIssuer
TH0970MedicaidSC

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
2213SCMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200614400000",
    "number": "1942486063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 CARRIAGE RIDE LN",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294857864",
            "telephone_number": "843-817-0732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 CARRIAGE RIDE LN",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294857864",
            "telephone_number": "843-817-0732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCKCROFT",
        "first_name": "ENGELE",
        "middle_name": "RICHARDSON",
        "credential": "M.ED., OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-18",
        "last_updated": "2008-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "2213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TH0970",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.

Verify at the official NPI Registry.