Active NPI
Mackenzie Ray
- Occupational Therapy Assistant
- Lexington, SC
National Provider Identifier
1972214021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 5477
- Practice address
- 720 Old Cherokee Rd
Lexington, SC 29072-9406 - Phone
- (803) 490-0960
- Fax
- (866) 464-4298
- NPI assigned
- Dec 9, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 5477 | SC | Primary |
Addresses
Primary practice location
720 Old Cherokee Rd
Lexington, SC 29072-9406
Mailing address
720 Old Cherokee Rd
Lexington, SC 29072-9406
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@cctherapygroup.com | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5477 | SC | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670544000000",
"number": "1972214021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 OLD CHEROKEE RD",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290729406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 OLD CHEROKEE RD",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290729406",
"telephone_number": "803-490-0960",
"fax_number": "866-464-4298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAY",
"first_name": "MACKENZIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-09",
"last_updated": "2022-12-09",
"certification_date": "2022-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "SC",
"license": "5477",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@cctherapygroup.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "720 Old Cherokee Rd",
"city": "Lexington",
"state": "SC",
"country_code": "US",
"postal_code": "290729406",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lexington, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.