{"npi":"1124840798","type":"NPI-1","status":"active","name":{"display":"Marissa Fullard","other":[],"first":"MARISSA","last":"FULLARD"},"specialty":{"primary_taxonomy":"225X00000X","primary_taxonomy_description":"Occupational Therapist","slug":"occupational-therapist","schema_org_specialty":null,"all":[{"code":"225X00000X","description":"Occupational Therapist","primary":true,"state":"SC","license":"7409"}]},"addresses":[{"purpose":"LOCATION","street_1":"297 W BOYCE ST","city":"MANNING","state":"SC","postal_code":"291023004","country_code":"US","phone":"8034339001"},{"purpose":"MAILING","street_1":"1395 AIRPORT RD","city":"SUMTER","state":"SC","postal_code":"291538784","country_code":"US","phone":"7705190979"}],"license":{"state":"SC","number":"7409"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20241204003990","type_code":"14-67","type_desc":"PRACTITIONER - OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE","state":"SC","pac_id":"7113453812"}]},"enumeration_date":"2024-10-25","last_updated":"2024-10-25","_meta":{"source":"NPPES","snapshot_date":"2024-10-25","doc_url":"https://findmynpi.com/api"}}