=====================================================
General NPI Number Information
=====================================================
NPI Number | 1184480022
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DELANEY JONES OTD, OTR/L
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/27/2024
-----------------------------------------------------
Last Update Date | 12/01/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4105 FABER PLACE DR STE 420
-----------------------------------------------------
City | NORTH CHARLESTON
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29405-8594
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 843-278-8599
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 512 TRESTLE PASS APT A414
-----------------------------------------------------
City | WARRENVILLE
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29851-3368
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225X00000X
-----------------------------------------------------
Taxonomy Name | Occupational Therapist
-----------------------------------------------------
License Number | 7807
-----------------------------------------------------
License Number State | SC
-----------------------------------------------------