JIMMIE LEE CARROLL (NPI# 1699019000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699019000 |
| Entity Type | Individual |
| Full Name | JIMMIE LEE CARROLL |
| Practice Address |
379 Pinehaven Street Ext Laurens SC 29360-2672 |
| Practice Telephone | 8649846584 |
| Practice Fax Number | 8649846464 |
| Mailing Telephone | 8649846584 |
| Mailing Fax Number | 8649846464 |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2012-11-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 3127 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
379 PINEHAVEN STREET EXT |
| City | LAURENS |
| State | SC |
| Zip Code | 29360-2672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194760637 | Nhc Healthcare-laurens LLC | Skilled Nursing Facility | 379 Pinehaven Street Ext, Laurens, SC 29360-2672 | 2006-06-18 |
| 1639728066 | Audrey Jordan | Physical Therapist | 379 Pinehaven Street Ext, Laurens, SC 29360-2672 | 2019-09-09 |
| 1467926535 | Princess Boyd | Occupational Therapy Assistant | 379 Pinehaven Street Ext, Laurens, SC 29360-2672 | 2019-01-11 |
| 1134695448 | Kathy Stewart Lowman | Occupational Therapy Assistant | 379 Pinehaven Street Ext, Laurens, SC 29360-2672 | 2018-10-15 |
| 1053820423 | Sarah Anne Barnes | Occupational Therapist | 379 Pinehaven Street Ext, Laurens, SC 29360-2672 | 2017-09-28 |
| 1992240832 | Ta'niqua Jessica Harris | Occupational Therapist | 379 Pinehaven Street Ext, Laurens, SC 29360-2672 | 2017-01-02 |
| 1063818045 | Iris Boney | Occupational Therapist | 379 Pinehaven Street Ext, Laurens, SC 29360-2672 | 2014-11-18 |
| 1174923155 | Cari Spanton | Occupational Therapy Assistant | 379 Pinehaven Street Ext, Laurens, SC 29360-2672 | 2014-08-27 |
| 1134556590 | Stephanie Kim Nierenberg | Physical Therapist | 379 Pinehaven Street Ext, Laurens, SC 29360-2672 | 2013-10-01 |
| 1376985101 | Allison Rosenthal Herrold | Speech-Language Pathologist | 379 Pinehaven Street Ext, Laurens, SC 29360 | 2013-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629564323 | Dj Healthcare Group | Counselor | 639 Sullivan Street, Laurens, SC 29360 | 2018-07-05 |
| 1770082158 | Carrie Abigail Culbertson | Counselor | 112 Henderson Lane, Laurens, SC 29360 | 2018-02-12 |
| 1508305186 | Amy Ledford Strickland | Nurse Practitioner | 22580 Highway 76 E Ste 300, Laurens, SC 29360 | 2017-02-16 |
| 1346785730 | Virginia Smith | Registered Nurse | 1035 West Main Street, Laurens, SC 29360 | 2016-12-21 |
| 1245774066 | Donna Gragg | Licensed Practical Nurse | 601 Lucas Ave, Laurens, SC 29360 | 2016-12-13 |
| 1174891840 | Lori Hilley West | Pharmacist | 1518 W. Main St., Laurens, SC 29360 | 2011-12-08 |
| 1841575701 | Lauren Allen Turner | Speech-Language Pathologist | 307 Pinehaven Street, Laurens, SC 29360 | 2011-10-11 |
| 1710217856 | Rachael Carroll | Occupational Therapy Assistant | 379 Pinehaven St Ext, Laurens, SC 29360 | 2010-01-13 |
| 1437384245 | Amy J Floyd | Occupational Therapy Assistant | 379 Pinehaven St. Ext, Laurens, SC 29360 | 2009-05-22 |
| 1275768228 | Laurens Electric Cooperative | Emergency Response System Companies | 2254 Hwy 14, Laurens, SC 29360 | 2009-05-20 |
| Find all providers in zip 29360 | ||||
| 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 |
|---|---|---|---|---|
| 1710217856 | Rachael Carroll | Occupational Therapy Assistant | 379 Pinehaven St Ext, Laurens, SC 29360 | 2010-01-13 |
| 1437384245 | Amy J Floyd | Occupational Therapy Assistant | 379 Pinehaven St. Ext, Laurens, SC 29360 | 2009-05-22 |
| 1558409151 | Robin Carla Hornberger | Occupational Therapy Assistant | 263 W Main St, Laurens, SC 29360-2940 | 2007-02-03 |
| 1861582355 | Robbie Howard Owens | Occupational Therapy Assistant | 301 Pinehaven Street Extention, Laurens, SC 29360 | 2006-10-13 |
| 1467926535 | Princess Boyd | Occupational Therapy Assistant | 379 Pinehaven Street Ext, Laurens, SC 29360-2672 | 2019-01-11 |
| 1134695448 | Kathy Stewart Lowman | Occupational Therapy Assistant | 379 Pinehaven Street Ext, Laurens, SC 29360-2672 | 2018-10-15 |
| 1174923155 | Cari Spanton | Occupational Therapy Assistant | 379 Pinehaven Street Ext, Laurens, SC 29360-2672 | 2014-08-27 |
| 1811237993 | Alicia Marie Lancaster | Occupational Therapy Assistant | 379 Pinehaven Street Ext, Laurens, SC 29360-2672 | 2013-02-26 |
| 1528334364 | Holly Grace Mitchell | Occupational Therapy Assistant | 379 Pinehaven Street Ext, Laurens, SC 29360-2672 | 2012-03-27 |
| 1447525480 | Elizabeth Marie Harris | Occupational Therapy Assistant | 379 Pinehaven Street Ext, Laurens, SC 29360-2672 | 2012-03-08 |
| Find all providers in LAURENS | ||||
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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.