Unknown Individual – Occupational Therapist, NPI 1508203399

Unknown Individual is a healthcare provider. based in Statesboro, Georgia. specializing in Occupational Therapist. They hold a License No. 5316 (SC). The NPI Number for Unknown Individual is 1508203399

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1508203399
Phone
(912) 486-1680
Address
1499 Fair Rd
Deactivation Date
13 October 2023
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 1499 Fair Rd

    Statesboro, GA 304581683

    Phone: (912) 486-1680

    Type: Location

  • 8 HOSPITAL CENTER BLVD STE 250

    HILTON HEAD ISLAND, SC 299268702

    Phone: (843) 671-7342

    Fax: (843) 671-7343

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30458)

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Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1508203399.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Occupational Therapist. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Statesboro, Georgia in our summary view.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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