MRS. NANCY WOLLA GARDNER (NPI# 1659610558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659610558 |
| Entity Type | Individual |
| Full Name | MRS. NANCY WOLLA GARDNER |
| Credential | OTR/L |
| Practice Address |
204 Shady Pines Ct Fountain Inn SC 29644-9785 |
| Mailing Address |
Po Box 1312 Fountain Inn SC 29644-1054 |
| Practice Telephone | 8643201973 |
| Practice Fax Number | 8643359036 |
| Mailing Fax Number | 8643359036 |
| Enumeration Date | 2013-02-12 |
| Last Update Date | 2020-01-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 217 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073733077 | Nancy J. Gardner | Social Worker | 83 Princeton Avenue Suite 2b, Hopewell, NJ 08525 | 2007-05-01 |
| 1649338203 | Nancy K Gardner | Acupuncturist | 21707 Hawthorne Blvd Ste 305, Torrance, CA 90503-7011 | 2006-12-05 |
| 1083704290 | Nancy Beth Gardner | Registered Nurse | 2205 Mcdowell Dr, Euless, TX 76039-4226 | 2006-10-16 |
| 1548288137 | Nancy Gardner | Nurse Anesthetist, Certified Registered | 1205 E Mahanoy St, Mahanoy City, PA 17948-3006 | 2006-07-18 |
| 1285682096 | Nancy Windham Gardner | Nurse Practitioner | 8351 Westport Rd, Jacksonville, FL 32244-5901 | 2006-05-04 |
| 1518380542 | Nancy Gardner | Physical Therapy Assistant | 17201 15th Ave Ne, Shoreline, WA 98155-5129 | 2014-01-27 |
| 1871723577 | Nancy Jean Gardner | Counselor | 2355 Delta Rd, Bay City, MI 48706-9340 | 2009-07-16 |
| 1861664260 | Nancy Jo Gardner | Physical Therapist | 214 Hospital Cir, Blairsville, GA 30512-3102 | 2008-03-26 |
| 1508037656 | Nancy Gardner | Homeopath | 1955 Lucile Ave, Suite G, Stockton, CA 95209-4703 | 2008-03-17 |
| 1215159496 | Nancy Noble Gardner | Social Worker | 4 Normanskill Blvd, Delmar, NY 12054-1335 | 2007-05-03 |
| Street Address |
204 SHADY PINES CT |
| City | FOUNTAIN INN |
| State | SC |
| Zip Code | 29644-9785 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912505447 | Sarah Rivard | Occupational Therapy Assistant | 204 Shady Pines Ct, Fountain Inn, SC 29644-9785 | 2020-10-16 |
| 1184221947 | Austin Waldrop | Occupational Therapy Assistant | 204 Shady Pines Ct, Fountain Inn, SC 29644-9785 | 2020-10-05 |
| 1528665619 | Lindsay G Kennedy | Occupational Therapy Assistant | 204 Shady Pines Ct, Fountain Inn, SC 29644-9785 | 2020-10-02 |
| 1215552757 | Kimberly Johnson | Occupational Therapy Assistant | 204 Shady Pines Ct, Fountain Inn, SC 29644-9785 | 2020-06-10 |
| 1013531912 | Jacquelyn M Knox | Occupational Therapy Assistant | 204 Shady Pines Ct, Fountain Inn, SC 29644-9785 | 2020-06-05 |
| 1912520255 | Alyssa Speake | Occupational Therapist | 204 Shady Pines Ct, Fountain Inn, SC 29644-9785 | 2020-05-21 |
| 1104450964 | Gretchen Wirick | Occupational Therapy Assistant | 204 Shady Pines Ct, Fountain Inn, SC 29644-9785 | 2020-03-02 |
| 1922643352 | Selen Aslaner | Occupational Therapy Assistant | 204 Shady Pines Ct, Fountain Inn, SC 29644-9785 | 2019-11-08 |
| 1962046573 | Jocelyn Ventrello | Occupational Therapy Assistant | 204 Shady Pines Ct, Fountain Inn, SC 29644-9785 | 2019-11-06 |
| 1558918185 | Adam Higgs | Occupational Therapy Assistant | 204 Shady Pines Ct, Fountain Inn, SC 29644-9785 | 2019-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669838991 | Palms Dentistry 225, LLC | Dentist | 208 Harrison Bridge Road, Fountain Inn, SC 29644 | 2015-12-31 |
| 1902155641 | Leah M Mauritz | Pharmacist | 203 N. Main St., Fountain Inn, SC 29644 | 2012-09-07 |
| 1164791778 | Lyfe Intervention Services | Community/Behavioral Health | 401 Putman Street, Fountain Inn, SC 29644 | 2011-12-28 |
| 1629119318 | South Carolina Department of Juvenile Justice | Residential Treatment Facility, Emotionally Disturbed Children | 810 Dunklin Bridge Road, Fountain Inn, SC 29644 | 2007-02-08 |
| 1841331717 | South Carolina Department of Juvenile Justice | Residential Treatment Facility, Emotionally Disturbed Children | 810 Dunklin Bridge Road, Fountain Inn, SC 29644 | 2007-02-12 |
| 1912300971 | Grouphab | Clinic/Center | 30 Howard Creek Dr, Fountain Inn, SC 29644-1318 | 2014-10-06 |
| 1235653031 | Fountain Inn Dental, LLC | Dentist | 1125 N Main St, Fountain Inn, SC 29644-1322 | 2017-08-02 |
| 1457950875 | 360 Durable Medical Supplies & Equipment | Durable Medical Equipment & Medical Supplies | 1314 N Main St Ste D, Fountain Inn, SC 29644-1332 | 2020-10-19 |
| 1790210839 | Mukta LLC | Pharmacy | 1103 N Main St Ste E, Fountain Inn, SC 29644-1336 | 2017-04-26 |
| 1457854564 | Tamera Burton Wilson | Specialist | 123 Village Vista Dr, Fountain Inn, SC 29644-1347 | 2018-03-15 |
| Find all providers in zip 29644 | ||||
| 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 |
|---|---|---|---|---|
| 1912520255 | Alyssa Speake | Occupational Therapist | 204 Shady Pines Ct, Fountain Inn, SC 29644-9785 | 2020-05-21 |
| 1093218992 | Emili Walker Hendrix | Occupational Therapist | 204 Shady Pines Ct, Fountain Inn, SC 29644 | 2018-03-16 |
| 1104328707 | Meredith Marlowe | Occupational Therapist | 204 Shady Pines Ct, Fountain Inn, SC 29644-9785 | 2018-02-28 |
| 1043729577 | Katharina Faerber | Occupational Therapist | 204 Shady Pines Ct, Fountain Inn, SC 29644-9785 | 2017-09-27 |
| 1972918373 | Kristin Ferree | Occupational Therapist | 501 Gulliver St, Fountain Inn, SC 29644-2105 | 2014-06-24 |
| 1710016084 | Randy L Marg | Occupational Therapist | 709 Quillen Ave, Fountain Inn, SC 29644-9444 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385243 | Brittain Harris | Occupational Therapist | 1710 Richland St # B, Columbia, SC 29201-2636 | 2020-10-26 |
| 1912506791 | Kathryn Fraboni Henderson | Occupational Therapist | 323 Riverland Dr Apt 2, Charleston, SC 29412-2587 | 2020-10-22 |
| 1841899663 | Belle Spangle | Occupational Therapist | 60 Spring Crossing Cir, Greer, SC 29650-5100 | 2020-10-22 |
| 1104425263 | Ashleigh Collins | Occupational Therapist | 2065 Mccrays Mill Rd, Sumter, SC 29154-6111 | 2020-10-20 |
| 1740888726 | Emily Negron | Occupational Therapist | 1612 Ebenezer Rd Ste 101, Rock Hill, SC 29732-3862 | 2020-10-13 |
| 1073110045 | Ryan Beebe Haines | Occupational Therapist | 5025 Willing Ct, Indian Land, SC 29707-3103 | 2020-10-02 |
| 1730795022 | Coastal Kids Therapy LLC | Occupational Therapist | 237 Palmetto Walk Dr, Summerville, SC 29486-2708 | 2020-09-22 |
| 1922614536 | Benchmark Healthcare Service LLC | Occupational Therapist | 3601 Richland Ave W Ste 717, Aiken, SC 29801-6417 | 2020-09-18 |
| 1730792938 | Kasey Anne O'haren | Occupational Therapist | 1 10th Ave, Charleston, SC 29403-3601 | 2020-08-26 |
| 1699385856 | Judy Lynn Lloyd | Occupational Therapist | 4801 Pee Dee Hwy, Conway, SC 29527-7357 | 2020-08-03 |
| Find all providers with the same taxonomy | ||||
| City | FOUNTAIN INN |
| Zip Code | 29644 |
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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.