Individual provider Active NPI

Jane D Vanwyke

  • Occupational Therapist
  • Columbia, SC
National Provider Identifier
1952473670
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
620 Issued in SC
Practice address
9600 Two Notch Rd
Suite 24
Columbia, SC 29223-4304
Phone
(803) 736-5540
NPI assigned
Nov 15, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 620 SC Primary

Addresses

Primary practice location

9600 Two Notch Rd
Suite 24
Columbia, SC 29223-4304

Mailing address

31 Bee Ridge Cir
Columbia, SC 29223-6702
Phone (803) 788-6195

Other names 1

  • Ms. Jane Davis Former name

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

State licenses

LicenseStateTypeSpecialty
620SCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Physical Therapy, P.a. Occupational Therapist PastSince Sep 4, 2023 Accepting new patients
Progressive Phyiscal Therapy, PA Occupational Therapist Past Accepting new patients
Total Rehab Services, PA Occupational Therapist Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952473670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 BEE RIDGE CIR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292236702",
            "telephone_number": "803-788-6195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 TWO NOTCH RD",
            "address_2": "SUITE 24",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292234304",
            "telephone_number": "803-736-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANWYKE",
        "first_name": "JANE",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANE",
            "last_name": "DAVIS",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jul 8, 2007; 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.