| Paul J. Tardy | |
|
105 Serendipity Way # D, Lexington, SC 29072-6999 | |
| (803) 556-3911 | |
| (866) 887-4617 |
| Full Name | Paul J. Tardy |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 105 Serendipity Way # D, Lexington, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003079534 | NPI | - | NPPES |
| 099039 | Other | ME | ANTHEM |
| 11513654 | Other | ME | CAQH |
| P00393431 | Other | ME | RAILROAD MEDICARE |
| 266140000 | Medicaid | ME | |
| AA49980 | Other | ME | HARVARD |
| 7052332 | Other | ME | AETNA |
| TH2387 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 3735 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Paul J. Tardy 105 Serendipity Way # D, Lexington, SC 29072-6999 Ph: (803) 556-3911 | Paul J. Tardy 105 Serendipity Way # D, Lexington, SC 29072-6999 Ph: (803) 556-3911 |
Whitney Stilwell, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 800 N Lake Dr, Lexington, SC 29072 Phone: 877-407-3422 Fax: 877-407-4329 | |
Karsen Walker, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 113 E Main St, Lexington, SC 29072 Phone: 910-584-3760 | |
Amanda Zoccolo, MSOT, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 800 N Lake Dr, Lexington, SC 29072 Phone: 877-407-3422 | |
Jillian Christiana Hutchins, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 800 N Lake Dr, Lexington, SC 29072 Phone: 877-407-3422 Fax: 877-407-4329 | |
Marley Scott, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 800 N Lake Dr, Lexington, SC 29072 Phone: 877-407-3422 Fax: 877-407-4329 | |
Morgan Pace, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 800 N Lake Dr, Lexington, SC 29072 Phone: 877-407-3422 Fax: 877-407-4329 |