MISS JACLYN MARIE PRENDERGAST OTR/L
NPI 1134891682
Occupational Therapist in Charleston, SC

Active since October 04, 2021
1640 ASHLEY HALL RD, CHARLESTON, SC 29407(843) 277-2411 Get Directions Write a Review

NPPES record last updated: October 4, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Miss Jaclyn Marie Prendergast Otr/l NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS JACLYN MARIE PRENDERGAST OTR/L (NPI 1134891682) is an individual occupational therapist in Charleston, South Carolina, licensed in South Carolina (6306) and active in the NPI registry since October 2021. She is a graduate of Other (2021).

NPPES Registry Identity

NPI1134891682
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameMISS JACLYN MARIE PRENDERGASTCredential: OTR/L
Location Address1640 ASHLEY HALL RDCharleston, SC 29407-3824
Mailing Address58 Sunset TerHighland Mills, NY 10930-2638 · (845) 774-6514
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 4, 2021
NPPES CertifiedOctober 1, 2021
NPI 1134891682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License Licensed in SC · 6306
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
1640 ASHLEY HALL RD, Charleston, SC 29407

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Miss Jaclyn Marie Prendergast Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8921476185
PECOS Enrollment IDI20221118000609

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist (Pediatrics)
1640 ASHLEY HALL RD
CHARLESTON, SC 29407
Occupational Therapy Assistant
1640 ASHLEY HALL RD
CHARLESTON, SC 29407
Occupational Therapy Assistant
1640 ASHLEY HALL RD
CHARLESTON, SC 29407
Occupational Therapy Assistant
1640 ASHLEY HALL RD
CHARLESTON, SC 29407
Occupational Therapy Assistant
1640 ASHLEY HALL RD
CHARLESTON, SC 29407
Occupational Therapist
1640 ASHLEY HALL RD
CHARLESTON, SC 29407
Occupational Therapy Assistant
1640 ASHLEY HALL RD
CHARLESTON, SC 29407
Occupational Therapist
1640 ASHLEY HALL RD
CHARLESTON, SC 29407

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaclyn Prendergast's NPI number?

The NPI number for Jaclyn Prendergast is 1134891682. It was assigned to this individual provider in the NPPES registry on October 4, 2021.

Where is Jaclyn Prendergast located?

Jaclyn Prendergast practices at 1640 Ashley Hall Rd, Charleston, SC 29407. The listed phone number is (843) 277-2411.

What is Jaclyn Prendergast's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Jaclyn Prendergast enrolled in Medicare?

Yes. Jaclyn Prendergast is registered in the Medicare PECOS enrollment system.

What insurance does Jaclyn Prendergast accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and Molina Healthcare list Jaclyn Prendergast as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jaclyn Prendergast was last updated on October 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.