Marissa Fullard
NPI 1124840798ActiveIndividual· Occupational Therapist· Manning, SC
Occupational Therapist in Manning, South Carolina, licensed in SC, with an NPI issued in October 2024. Enrolled in Medicare as practitioner - occupational therapist in private practice.
Overview
| NPI | 1124840798 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Oct 25, 2024 |
| Last updated in NPPES | Oct 25, 2024 |
| Certified by provider | Oct 25, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | 7409 | SC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Occupational Therapist in Private Practice (SC) |
|---|
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