GIANNA MARIE JACULLO OTR/L
NPI 1841045119
Occupational Therapist in Little River, SC

Active since April 20, 2024Accepts Medicare Assignment
1110 HEATHER GLEN BLVD, LITTLE RIVER, SC 29566(631) 708-7913 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 18, 2025, Apr 20, 2024 (2 updates tracked since 2024).

About Gianna Marie Jacullo Otr/l NPPES

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

GIANNA MARIE JACULLO OTR/L (NPI 1841045119) is an individual occupational therapist in Little River, South Carolina, licensed in South Carolina (7159) and active in the NPI registry since April 2024. She is a graduate of Other (2024).

NPPES Registry Identity

NPI1841045119
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameGIANNA MARIE JACULLOCredential: OTR/L
Location Address1110 HEATHER GLEN BLVDLittle River, SC 29566-5947
Mailing Address1110 Heather Glen BlvdLittle River, SC 29566-5947 · (631) 708-7913
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateApril 20, 2024
Last NPPES UpdateNovember 18, 20252 updates tracked since enumeration
NPPES CertifiedNovember 18, 2025
✔ NPI 1841045119 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 · 7159
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.
1110 HEATHER GLEN BLVD, Little River, SC 29566

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gianna Marie Jacullo Otr/l 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 ID4587184155
PECOS Enrollment IDI20250226001149

Medicare Billing Reassignment

Medicare enrollment records show Gianna Jacullo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
190 RIVER PARK DR
Little River, SC 29566
  • Reassigned Medicare billing, South Carolina enrollment
  • 64 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Gianna Jacullo's NPI number?

The NPI number for Gianna Jacullo is 1841045119. It was assigned to this individual provider in the NPPES registry on April 20, 2024.

Where is Gianna Jacullo located?

Gianna Jacullo practices at 1110 Heather Glen Blvd, Little River, SC 29566. The listed phone number is (631) 708-7913.

What is Gianna Jacullo's specialty?

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

Is Gianna Jacullo enrolled in Medicare?

Yes. Gianna Jacullo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Gianna Jacullo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gianna Jacullo reassigns Medicare benefits to Legacy Healthcare Services Inc (Little River, SC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gianna Jacullo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Gianna Jacullo was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.