Individual provider Active NPI

Julie Coleman Huckabee, OTR/L, MSR

  • Occupational Therapist
  • Roebuck, SC
National Provider Identifier
1942540935
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2440 Issued in SC
Practice address
1390 Cavalier Way
Roebuck, SC 29376-3367
Phone
(864) 576-4212
Fax
(864) 574-6265
NPI assigned
Feb 27, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2013

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 2440 SC Primary

Addresses

Primary practice location

1390 Cavalier Way
Roebuck, SC 29376-3367

Mailing address

1390 Cavalier Way
Roebuck, SC 29376-3367
Phone (864) 576-4212

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

LicenseStateTypeSpecialty
2440SCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spartanburg County School District Six Past Accepting new patients

Organizations & group practices 1

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": "1361923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377129600000",
    "number": "1942540935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 CAVALIER WAY",
            "city": "ROEBUCK",
            "state": "SC",
            "postal_code": "293763367",
            "telephone_number": "864-576-4212",
            "fax_number": "864-574-6265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 CAVALIER WAY",
            "city": "ROEBUCK",
            "state": "SC",
            "postal_code": "293763367",
            "telephone_number": "864-576-4212",
            "fax_number": "864-574-6265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUCKABEE",
        "first_name": "JULIE",
        "middle_name": "COLEMAN",
        "name_prefix": "Mrs.",
        "credential": "OTR/L, MSR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-27",
        "last_updated": "2013-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "2440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roebuck, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; 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.