GIANNA MARIE JACULLO OTR/L
NPI 1841045119
Occupational Therapist in Little River, SC
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
Specialties & Licenses
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.
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.
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.