Jocelyn Ventrello, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

3229 Issued in SC

Practice address

204 Shady Pines CT
Fountain Inn, SC 29644-9785

Phone

(864) 399-2674

Fax

(864) 335-9036

NPI assigned

Nov 6, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Heaton Pediatric Therapy Inc.

  • Occupational Therapist
  • Fountain Inn, SC
  • NPI 1700255056

  Occupational Therapy Assistant

  NPD (past)

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1962046573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 FAIRFOREST WAY APT 27208",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296074695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 SHADY PINES CT",
            "city": "FOUNTAIN INN",
            "state": "SC",
            "postal_code": "296449785",
            "telephone_number": "864-399-2674",
            "fax_number": "864-335-9036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "207 N Maple St Ste 12",
            "address_purpose": "LOCATION",
            "city": "Simpsonville",
            "state": "SC",
            "postal_code": "296812338",
            "country_code": "US",
            "telephone_number": "864-283-2662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VENTRELLO",
        "first_name": "JOCELYN",
        "name_prefix": "Ms.",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-06",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "SC",
            "license": "3229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aboyd@lifespantherapyservice.com",
            "affiliation": "N",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "207 N Maple St Ste 12",
            "city": "Simpsonville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296812338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Occupational Therapy Assistant in Fountain Inn, SC
• Providers in Fountain Inn, 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 Nov 6, 2019; 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.