ALISSA VIDOVICH (NPI# 1972051217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972051217 |
| Entity Type | Individual |
| Full Name | ALISSA VIDOVICH |
| Credential | OTR/L |
| Practice Address |
101 Brightwater Dr Myrtle Beach SC 29579-8275 |
| Mailing Address |
649 Swinford Dr Myrtle Beach SC 29588-4645 |
| Practice Telephone | 8432363579 |
| Mailing Telephone | 8563323722 |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2016-09-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 4794 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| 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 |
| 1609382845 | Rachael Wilson | Occupational Therapy Assistant | 101 Brightwater Dr, Myrtle Beach, SC 29579-8275 | 2017-12-26 |
| 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 |
| 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 | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and 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 therapists 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, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912544313 | Benchmark Healthcare Services, LLC | Occupational Therapist | 108 Debo Dr Ste 130, Myrtle Beach, SC 29579-4918 | 2019-12-04 |
| 1699105940 | Maureen Patricia Chapman | Occupational Therapist | 3761 Cape Landing Cir, Apt P, Myrtle Beach, SC 29588-1101 | 2013-11-23 |
| 1700151313 | Progressive Physical Therapy, Pa | Occupational Therapist | 2050 Corporate Centre Dr, Suite 100, Myrtle Beach, SC 29577-7428 | 2012-03-14 |
| 1881967024 | Proaxis Therapy Sc, LLC | Occupational Therapist | 5046 Highway 17 Bp S, Ste 201, Myrtle Beach, SC 29588-4503 | 2012-02-20 |
| 1407084973 | Thomas Andrew Kincheloe | Occupational Therapist | 100 Prather Park Dr, Suite A, Myrtle Beach, SC 29588-7910 | 2009-06-23 |
| 1417152240 | Haley Davis Moore | Occupational Therapist | 101 Brightwater Dr, Myrtle Beach, SC 29579-8275 | 2007-06-20 |
| 1558915900 | Jaclyn L Boyette | Occupational Therapist | 2200 Crow Ln, Myrtle Beach, SC 29577-1663 | 2019-07-24 |
| 1861057333 | Orthosc LLC | Occupational Therapist | 210 Village Center Blvd Ste 100, Myrtle Beach, SC 29579-6706 | 2019-05-09 |
| 1962065201 | Carson Castor | Occupational Therapist | 201 Brightwater Dr, Myrtle Beach, SC 29579-8298 | 2019-04-22 |
| 1972094456 | Patrick Brenden Yee | Occupational Therapist | 101 Brightwater Dr, Myrtle Beach, SC 29579-8275 | 2018-05-21 |
| 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.