Active NPI
Kristin Marie Lucchesi, OTRL
- Occupational Therapist
- Bluffton, SC
National Provider Identifier
1043434590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3491
- Practice address
- 6 Three Oaks LN
Bluffton, SC 29910-7976 - Phone
- (772) 349-3129
- NPI assigned
- Apr 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT9028 | FL | |
| Occupational Therapist | 225X00000X | 3491 | SC | Primary |
Addresses
Primary practice location
6 Three Oaks LN
Bluffton, SC 29910-7976
Mailing address
6 Three Oaks LN
Bluffton, SC 29910-7976
Phone (772) 349-3129
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8853541 | Medicaid | FL | |
| TH2231 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT9028 | FL | MD | Occupational Therapist |
| 3491 | SC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Therapies, Inc | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277337600000",
"number": "1043434590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 THREE OAKS LN",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "299107976",
"telephone_number": "772-349-3129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 THREE OAKS LN",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "299107976",
"telephone_number": "772-349-3129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCCHESI",
"first_name": "KRISTIN",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "OTRL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-13",
"last_updated": "2010-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT9028",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "3491",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8853541",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "TH2231",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bluffton, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.