BETHANY JANE MOELLER (NPI# 1457746604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457746604 |
| Entity Type | Individual |
| Full Name | BETHANY JANE MOELLER |
| Credential | COTA |
| Practice Address |
1248 N Longstreet St Kingstree SC 29556-2748 |
| Mailing Address |
697 Dobester Ave Charleston SC 29412-9106 |
| Practice Telephone | 8433827529 |
| Practice Fax Number | 8433827542 |
| Mailing Telephone | 8438101183 |
| Enumeration Date | 2015-04-04 |
| Last Update Date | 2015-04-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 3407 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1248 N LONGSTREET ST |
| City | KINGSTREE |
| State | SC |
| Zip Code | 29556-2748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881652949 | Gary L Carney | Chiropractor | 1248 N Longstreet St, Kingstree, SC 29556-2738 | 2006-05-01 |
| 1316446149 | Meredith Kellahan | Speech-Language Pathologist | 1248 N Longstreet St, Kingstree, SC 29556-2748 | 2018-02-07 |
| 1972031557 | Natalie Brown | Speech-Language Pathologist | 1248 N Longstreet St, Kingstree, SC 29556-2748 | 2017-05-26 |
| 1053709345 | Rebecca Lanelle Harris | Occupational Therapy Assistant | 1248 N Longstreet St, Kingstree, SC 29556-2748 | 2015-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689198996 | April Wilson | Home Health Aide | 706 Sandy Bay Rd, Kingstree, SC 29556 | 2017-07-28 |
| 1588000657 | Jennifer Moore Lamb | Registered Nurse | 500 North Academy St, Building K, Kingstree, SC 29556 | 2013-05-16 |
| 1619227014 | Hallie Mcnair Dubose | Pharmacist | 120 North Longstreet St, Kingstree, SC 29556 | 2012-09-12 |
| 1699969733 | Black River Healthcare, Inc. | Obstetrics & Gynecology | 500 Thurgood Marshall Boulevard, Suite A, Kingstree, SC 29556 | 2007-08-31 |
| 1457578486 | Dawkins Medical Transport | Ambulance | 89 Drylog Avenue, Kingstree, SC 29556 | 2007-04-19 |
| 1306971502 | Vital Aging of Williamsburg County, Inc. | Home Delivered Meals | 501 North Longstreet Street, Kingstree, SC 29556 | 2007-02-21 |
| 1356489579 | Harry Wells Floyd | General Practice | 500 Thurgood Marshall Blvd, Suite F, Kingstree, SC 29556 | 2007-02-01 |
| 1306995782 | Joann Conyers Lockhart | Health Educator | 500 Academy Street, Kingstree, SC 29556 | 2007-01-09 |
| 1497825723 | The Youth Academy Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 237 Lela Harrison Road, Kingstree, SC 29556 | 2006-11-08 |
| 1427151109 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 120 N Longst St, Kingstree, SC 29556 | 2006-09-07 |
| Find all providers in zip 29556 | ||||
| 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 |
|---|---|---|---|---|
| 1053709345 | Rebecca Lanelle Harris | Occupational Therapy Assistant | 1248 N Longstreet St, Kingstree, SC 29556-2748 | 2015-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992326748 | Kelly Nomikos | Occupational Therapy Assistant | 100 E Main St Apt 7, Spartanburg, SC 29306-5174 | 2020-05-04 |
| 1396376307 | Kimberly Hope Yecke | Occupational Therapy Assistant | 672 Marina Dr Ste 104, Charleston, SC 29492-9084 | 2020-01-29 |
| 1831729185 | Sound Beginnings LLC | Occupational Therapy Assistant | 128 Capers St, Greenville, SC 29605-2805 | 2020-01-24 |
| 1477190429 | Joseph Haynie | Occupational Therapy Assistant | 1213 Bradley Daniel Blvd, Summerville, SC 29486-8658 | 2019-12-09 |
| 1265076970 | Katie Michelle Luker | Occupational Therapy Assistant | 3 Luker Rd, Piedmont, SC 29673-9604 | 2019-11-05 |
| 1235773227 | Life Centered Mobility, LLC | Occupational Therapy Assistant | 552 Old Iron Works Rd, Spartanburg, SC 29302-4431 | 2019-11-01 |
| 1306480447 | Jasmine Somone Lindsay | Occupational Therapy Assistant | 293 James Williams Rd Lot 88, Newberry, SC 29108-7577 | 2019-11-01 |
| 1265075923 | Labrittney Fleming | Occupational Therapy Assistant | 108 Simpson St, Spartanburg, SC 29302-4316 | 2019-10-24 |
| 1851932263 | Kristen Everley Hoy | Occupational Therapy Assistant | 719 Symmetry Ct, Boiling Springs, SC 29316-5673 | 2019-10-07 |
| 1891342432 | Kaylee Mcdaniel | Occupational Therapy Assistant | 4879 Coach Rd, Hollywood, SC 29449-5521 | 2019-08-19 |
| Find all providers with the same taxonomy | ||||
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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.