CRISTOPHER MAILUM DE LUNA OTR/L CHT NPI 1700196847

NPI Information

NPI: 1700196847
Provider Name: CRISTOPHER MAILUM DE LUNA, OTR/L, CHT
Classification: Occupational Therapist - 225XH1200X
Entity Type: Individual

Specialization: Hand

Address:
2880 TRICOM ST
NORTH CHARLESTON, SC
ZIP 29406
Phone: (843) 797-5050
Get Directions

Cristopher Mailum De Luna, OTR/L, CHT is a hand occupational therapist in North Charleston, SC. Cristopher Mailum De Luna, OTR/L, CHT NPI is 1700196847. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2880 TRICOM ST
NORTH CHARLESTON, SC
ZIP 29406-171
Phone: (843) 797-5050
Fax: (843) 797-3633

The enumeration date for this NPI number is 10/7/2010 and was last updated on 4/28/2017.

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

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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