MR. RUSTY ALLEN GODFREY (NPI# 1528267960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528267960 |
| Entity Type | Individual |
| Full Name | MR. RUSTY ALLEN GODFREY |
| Credential | COTA/L |
| Practice Address |
63 Blackstock Rd Inman SC 29349-1835 |
| Practice Telephone | 8644729055 |
| Mailing Telephone | 8644729055 |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2007-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 2664 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
63 BLACKSTOCK RD |
| City | INMAN |
| State | SC |
| Zip Code | 29349-1835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689761876 | Thi of South Carolina At Magnolia Manorinman, LLC | Skilled Nursing Facility | 63 Blackstock Rd, Inman, SC 29349-1835 | 2006-10-07 |
| 1316432099 | Michelle Breedlove | Nurse Practitioner | 63 Blackstock Rd, Inman, SC 29349-1835 | 2018-06-26 |
| 1982804480 | Julie Hicks Traynham | Physical Therapy Assistant | 63 Blackstock Rd, Inman, SC 29349-1835 | 2007-07-23 |
| 1356540611 | Kathryn Holloway Warmack | Physical Therapy Assistant | 63 Blackstock Rd, Inman, SC 29349-1835 | 2007-07-16 |
| 1780883041 | Kristen M Huffman | Occupational Therapist | 63 Blackstock Rd, Inman, SC 29349-1835 | 2007-07-16 |
| 1467651893 | Sarah E Estes | Occupational Therapy Assistant | 63 Blackstock Rd, Inman, SC 29349-1835 | 2007-07-16 |
| 1801095179 | John Kevin Wilkerson | Occupational Therapy Assistant | 63 Blackstock Rd, Inman, SC 29349-1835 | 2007-07-16 |
| 1922207380 | Philip Alonzo Discaya | Physical Therapist | 63 Blackstock Rd, Inman, SC 29349-1835 | 2007-07-16 |
| 1972702272 | Natasha Beaumont | Physical Therapy Assistant | 63 Blackstock Rd, Inman, SC 29349-1835 | 2007-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386129336 | Shela Beth Hipolito | Nurse Practitioner | 1827, 59 Blackstock Rd, Inman, SC 29349 | 2018-09-26 |
| 1669784054 | Carolina Vision Associates, LLC | Optometrist | 43 N. Main Street, Inman, SC 29349 | 2010-07-14 |
| 1902038797 | Thomas William Beauchamp Sr. | Dentist | 26 Mill St., Thomas W. Beauchamp Dds, Inman, SC 29349 | 2009-08-13 |
| 1104026111 | Analyn M Mccutchen | Physical Therapist | 63 Blacstock Rd, Inman, SC 29349 | 2007-07-19 |
| 1417053406 | Lake Bowen Dental | Dentist | 8810 Hwy 9, Inman, SC 29349 | 2006-09-16 |
| 1669405262 | Nicole Korin Lavis | Physician Assistant | 12051 Asheville Hwy, Inman, SC 29349 | 2006-07-08 |
| 1528018322 | Catherine Eloy Hunt | Family Medicine | 12330 Asheville Highway, Inman, SC 29349 | 2006-05-11 |
| 1609347822 | Oakridge Heath Care Limited Liability Company | General Practice | 2470 Old Mill Rd, Inman, SC 29349 | 2018-12-16 |
| 1316281199 | Stephanie Nicole Patterson | Pharmacist | 2470 Old Mill Rd, Inman, SC 29349 | 2012-11-19 |
| 1659650968 | Tumana Scott | Massage Therapist | 5073 Highway 9, Inman, SC 29349 | 2011-08-04 |
| Find all providers in zip 29349 | ||||
| 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 |
|---|---|---|---|---|
| 1578984340 | Laurie Neff | Occupational Therapy Assistant | 131 Dogwood Cir, Inman, SC 29349-6731 | 2013-12-22 |
| 1750625802 | Deanna Riddle | Occupational Therapy Assistant | 244 Ranier Dr, Inman, SC 29349-6700 | 2012-11-15 |
| 1538570247 | Kelley Froese | Occupational Therapy Assistant | 108 N Walnut St, Inman, KS 67546-8016 | 2014-05-15 |
| 1467651893 | Sarah E Estes | Occupational Therapy Assistant | 63 Blackstock Rd, Inman, SC 29349-1835 | 2007-07-16 |
| 1801095179 | John Kevin Wilkerson | Occupational Therapy Assistant | 63 Blackstock Rd, Inman, SC 29349-1835 | 2007-07-16 |
| 1437355427 | Candra Kay Scobee | Occupational Therapy Assistant | 108 N Walnut St, Inman, KS 67546-8016 | 2007-06-26 |
| 1306967369 | Marla Gay Snodgrass | Occupational Therapy Assistant | 200 Fortress Dr, Inman, SC 29349-9160 | 2007-04-03 |
| 1053438374 | Stanley L Clippinger | Occupational Therapy Assistant | 200 Fortress Dr, Inman, SC 29349-9160 | 2007-03-23 |
| 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.