John Bistis, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

4783 Issued in SC

Practice address

3808 Hartnett Blvd
Isle of Palms, SC 29451-2533

Phone

(908) 209-3730

NPI assigned

Aug 2, 2016

Last updated

Aug 2, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1470096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470096000000",
    "number": "1952854317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3808 HARTNETT BLVD",
            "city": "ISLE OF PALMS",
            "state": "SC",
            "postal_code": "294512533",
            "telephone_number": "908-209-3730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3808 HARTNETT BLVD",
            "city": "ISLE OF PALMS",
            "state": "SC",
            "postal_code": "294512533",
            "telephone_number": "908-209-3730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISTIS",
        "first_name": "JOHN",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-02",
        "last_updated": "2016-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "SC",
            "license": "4783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Doris Spann Argoe, CRNA
• Brian Athan Armstrong, M.D.
• Aspire
• Brent G Bailey, DDS
• Gayle Bbroudy, RN
• Brent G Bailey
• Michael John Budlong
• Meghan Barbara Casey, M.S.
• Taylor N Crews, MSN, APRN, PMHNP
• Delta of Isle of Palms LLC (Delta Pharmacy & Medical Supply)

• Occupational Therapy Assistant in Isle of Palms, SC
• Providers in Isle of Palms, SC by specialty
• Occupational Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.

Verify at the official NPI Registry.