MS. AZALYN HICKMAN OTRL
NPI 1619456217
Occupational Therapist in Fairfax, SC

Active since August 14, 2018Accepts Medicare Assignment
1787 ALLENDALE FAIRFAX HWY, FAIRFAX, SC 29827(803) 632-3311 Get Directions Write a Review

NPPES record last updated: August 14, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Azalyn Hickman Otrl NPPES

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

MS. AZALYN HICKMAN OTRL (NPI 1619456217) is an individual occupational therapist in Fairfax, South Carolina, licensed in South Carolina (5161) and active in the NPI registry since August 2018. She is a graduate of Other (2016).

NPPES Registry Identity

NPI1619456217
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameMS. AZALYN HICKMANCredential: OTRL
Location Address1787 ALLENDALE FAIRFAX HWYFairfax, SC 29827-9133
Mailing Address5830 Coral Ridge Dr Ste 300Coral Springs, FL 33076-3388 · (954) 510-4045
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 14, 2018
NPI 1619456217 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
Licenses Licensed in SC · 5161 Licensed in AL · 4741
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.

1787 ALLENDALE FAIRFAX HWY, Fairfax, SC 29827

Other Identifiers 1

Other1033106596SC · Alden Lakeland

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Azalyn Hickman Otrl is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153818844
PECOS Enrollment IDI20251015005047

Other Providers at the Same Location NPPES 17

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

Nurse Practitioner (Acute Care)
1787 ALLENDALE FAIRFAX HWY
FAIRFAX, SC 29827
Family Medicine
1787 ALLENDALE FAIRFAX HWY
FAIRFAX, SC 29827
Emergency Medicine
1787 ALLENDALE FAIRFAX HWY
FAIRFAX, SC 29827
Physician Assistant (Medical)
1787 ALLENDALE FAIRFAX HWY
FAIRFAX, SC 29827
Registered Nurse (Diabetes Educator)
1787 ALLENDALE FAIRFAX HWY, POB 218
FAIRFAX, SC 29827
Family Medicine
1787 ALLENDALE FAIRFAX HWY
FAIRFAX, SC 29827
General Acute Care Hospital (Critical Access)
1787 ALLENDALE FAIRFAX HWY
FAIRFAX, SC 29827
Physical Therapist
1787 ALLENDALE FAIRFAX HWY
FAIRFAX, SC 29827

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619456217, enumerated as an "individual" on August 14, 2018.

The provider is located at 1787 ALLENDALE FAIRFAX HWY FAIRFAX, SC 29827 and the phone number is (803) 632-3311.

Occupational Therapist with taxonomy code 225X00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.