Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 225X00000X | Occupational Therapist | | 3732 | SOUTH CAROLINA | No |
| 2 | 225XH1200X | Occupational Therapist | Hand | 3732 | SOUTH CAROLINA | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 4042622 | OTHER | SOUTH CAROLINA | AETNA PROVIDER NO. |
| 2 | 983776 | OTHER | SOUTH CAROLINA | WELLCARE PROVIDER NO. |
| 3 | Q43627D043 | MEDICARE PIN | SOUTH CAROLINA | |
| 4 | 46-2535418 | OTHER | SOUTH CAROLINA | ARCIS HEALTHCARE, LLC GROUP TIN |
| 5 | D043 | OTHER | SOUTH CAROLINA | ARCIS HEALTHCARE, LLC GROUP MEDICARE PTAN |
| 6 | 1701 | OTHER | SOUTH CAROLINA | GROUP MEDICARE PIN # |
| 7 | TH2292 | MEDICAID | SOUTH CAROLINA | |
| 8 | 7000950004 | OTHER | SOUTH CAROLINA | ARCIS HEALTHCARE, LLC GROUP DME PTAN |
| 9 | 1407270093 | OTHER | SOUTH CAROLINA | ARCIS HEALTHCARE, LLC GROUP DME NPI |
| 10 | 1902246077 | OTHER | SOUTH CAROLINA | ARCIS HEALTHCARE, LLC GROUP NPI |
| 11 | 45168 | OTHER | SOUTH CAROLINA | ARCIS HEALTHCARE, LLC GROUP MULTIPLAN NO. |
| 12 | 1992129563 | OTHER | SOUTH CAROLINA | ARCIS HEALTHCARE, LLC GROUP DME NPI |
| 13 | GP6337 | OTHER | SOUTH CAROLINA | ARCIS HEALTHCARE, LLC GROUP MEDICAID NO. |
| 14 | 7000950005 | OTHER | SOUTH CAROLINA | ARCIS HEALTHCARE, LLC GROUP DME PTAN |
