RACHAEL WILSON (NPI# 1609382845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609382845 |
| Entity Type | Individual |
| Full Name | RACHAEL WILSON |
| Practice Address |
101 Brightwater Dr Myrtle Beach SC 29579-8275 |
| Mailing Address |
110 Breakers Dr Unit 522 Myrtle Beach SC 29579-4419 |
| Practice Telephone | 8439038300 |
| Enumeration Date | 2017-12-26 |
| Last Update Date | 2020-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 5000 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 224Z00000X | Occupational Therapy Assistant | 1674 | CT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | COTA SC LICENSES | 5000 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851788988 | Rachael Anne Wilson | Dentist | 4200 West Old Shakopee Rd, Suite 100, Bloomington, MN 55437 | 2015-04-15 |
| 1386070803 | Rachael Elizabeth Wilson | Counselor | 1137 North Main Street, Suite 2, Ofallon, MO 63366 | 2013-09-16 |
| 1780283465 | Rachael Wilson | Case Manager/Care Coordinator | 12557 Ravenwood Dr, Chardon, OH 44024-9009 | 2020-10-22 |
| 1669022315 | Rachael Wilson | Behavioral Analyst | 6505 218th St Sw Ste 12, Mountlake Terrace, WA 98043-2135 | 2019-09-15 |
| 1003460379 | Rachael Wilson | Behavior Technician | 421 Fayetteville St Ste 1100, Raleigh, NC 27601-3000 | 2019-07-25 |
| 1912464694 | Rachael M Wilson | Psychologist | 421 N Main St, Leeds, MA 01053-9764 | 2019-02-28 |
| 1083192488 | Rachael Leeann Wilson | Physician Assistant | 2043 College Way, Forest Grove, OR 97116-1756 | 2018-07-30 |
| 1538608062 | Rachael Wilson | Case Manager/Care Coordinator | 2789 Ortiz Ave, Fort Myers, FL 33905-7806 | 2017-02-16 |
| 1164698940 | Rachael Dorothy Wilson | Counselor | 2577 Ne Courtney Dr, Bend, OR 97701-7638 | 2008-05-01 |
| Street Address |
101 BRIGHTWATER DR |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29579-8275 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417152240 | Haley Davis Moore | Occupational Therapist | 101 Brightwater Dr, Myrtle Beach, SC 29579-8275 | 2007-06-20 |
| 1376164681 | Brandon Thomas Causey | Speech-Language Pathologist | 101 Brightwater Dr, Myrtle Beach, SC 29579-8275 | 2020-04-28 |
| 1417441833 | Jared Scott Ballard | Speech-Language Pathologist | 101 Brightwater Dr, Myrtle Beach, SC 29579 | 2018-06-19 |
| 1972094456 | Patrick Brenden Yee | Occupational Therapist | 101 Brightwater Dr, Myrtle Beach, SC 29579-8275 | 2018-05-21 |
| 1326540022 | William Tyler Broome | Occupational Therapy Assistant | 101 Brightwater Dr, Myrtle Beach, SC 29579-8275 | 2018-03-08 |
| 1972014082 | Alexis Renee Magoto | Speech-Language Pathologist | 101 Brightwater Dr, Myrtle Beach, SC 29579-8275 | 2017-10-16 |
| 1548704067 | Lisa Rodgers | Physical Therapist | 101 Brightwater Dr, Myrtle Beach, SC 29579-8275 | 2016-12-19 |
| 1235671694 | Tricia Vanriper | Occupational Therapy Assistant | 101 Brightwater Dr, Myrtle Beach, SC 29579-8275 | 2016-11-16 |
| 1972051217 | Alissa Vidovich | Occupational Therapist | 101 Brightwater Dr, Myrtle Beach, SC 29579-8275 | 2016-09-15 |
| 1942676176 | Michael Jesse Shearer | Physical Therapist | 101 Brightwater Dr, Myrtle Beach, SC 29579-8275 | 2015-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598323198 | P & E Company | Counselor | 4105 Carolina Commercial Dr. Unit #2, Myrtle Beach, SC 29579 | 2019-05-30 |
| 1528624632 | Matthew Meehan | Nurse Practitioner | 4016 River Oaks Dr # 6511, Myrtle Beach, SC 29579 | 2019-05-14 |
| 1427518265 | Brian Donovan Doherty | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center 809 82nd Parkway, Gme Office, Myrtle Beach, SC 29579 | 2019-03-20 |
| 1508347931 | South Carolina Cvs Pharmacy LLC | Pharmacy | 578 International Dr, Myrtle Beach, SC 29579 | 2018-08-23 |
| 1497256176 | Orthosc LLC | Orthopaedic Surgery | 185 Fresh Dr Ste B, Myrtle Beach, SC 29579 | 2018-02-27 |
| 1740708981 | Dental Professional of South Carolina, P.C. | Dentist | 568 International Dr, Myrtle Beach, SC 29579 | 2017-09-08 |
| 1093232480 | Johnathan T Steppe | Dentist | 568 International Drive, Myrtle Beach, SC 29579 | 2017-08-25 |
| 1346638483 | Little River Medical Center, Inc | Clinic/Center | 4220 Carolina Exchange Blvd, Myrtle Beach, SC 29579 | 2014-12-23 |
| 1154726818 | Mina Gaid | Pharmacist | 1303 38th Avenue North, Myrtle Beach, SC 29579 | 2014-10-23 |
| 1528471364 | Paola Goyeneche | Counselor | 5015 Carolina Forest Blvd, Myrtle Beach, SC 29579 | 2014-06-10 |
| Find all providers in zip 29579 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316463086 | Margaret Johnson | Occupational Therapy Assistant | 3621 Happy Woods Ct, Myrtle Beach, SC 29588-2926 | 2017-08-15 |
| 1245765825 | Connections Pediatric Therapy | Occupational Therapy Assistant | 121 Gateway Rd, Suite B, Myrtle Beach, SC 29579-5400 | 2017-04-20 |
| 1336596436 | Michael Von Kampen | Occupational Therapy Assistant | 7601 Driftwood Dr, Myrtle Beach, SC 29572-4153 | 2016-05-18 |
| 1922489301 | Edna Guerrette | Occupational Therapy Assistant | 3930 Saint Ives Rd, #533, Myrtle Beach, SC 29588-1163 | 2015-06-11 |
| 1790189694 | Emily Moore | Occupational Therapy Assistant | 2607 Yaupon Dr Apt 7, Myrtle Beach, SC 29577-4786 | 2014-10-21 |
| 1265795116 | Jill Grimes | Occupational Therapy Assistant | 1226 Harvester Cir, Myrtle Beach, SC 29579-3292 | 2012-06-15 |
| 1467611756 | Therapy Consortium Inc. | Occupational Therapy Assistant | 4761 Highway 501, Suite #1, Myrtle Beach, SC 29579-9457 | 2008-06-03 |
| 1780872523 | Jodi Anne Dresmich | Occupational Therapy Assistant | 614 Woodbine Ct, Myrtle Beach, SC 29579-1747 | 2007-10-05 |
| 1326540022 | William Tyler Broome | Occupational Therapy Assistant | 101 Brightwater Dr, Myrtle Beach, SC 29579-8275 | 2018-03-08 |
| 1508388703 | Carolyn Burke Ellis | Occupational Therapy Assistant | 3620 Happy Woods Ct, Myrtle Beach, SC 29588-2925 | 2017-07-10 |
| Find all providers in MYRTLE BEACH | ||||
| City | MYRTLE BEACH |
| Zip Code | 29579 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.