Kelley M Knoebel, OTR/L, MS

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

4364 Issued in SC

Practice address

1004 10TH St
Port Royal, SC 29935-2310

Phone

(843) 310-9689

Fax

(800) 317-9690

NPI assigned

Sep 22, 2014

Last updated

Jul 7, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA, AZ2 enrollments

Enrollment records 2

Specialty

Occupational Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fox Rehabilitation Services Az LLCGroup PAC ID 3173993987, 37 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fox Rehabilitation Services Az LLC

  • Physical Therapist
  • Prescott, AZ
  • NPI 1982329850

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Fox Rehabilitation Ga, LLC

  • Physical Therapist
  • Atlanta, GA
  • NPI 1023544624

  Occupational Therapist

  Medicare reassignment NPD
• Sea Island Healthcare, LLC

  • Home Health Agency
  • Port Royal, SC
  • NPI 1013405976
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1043612047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 10TH ST",
            "city": "PORT ROYAL",
            "state": "SC",
            "postal_code": "299352310",
            "telephone_number": "843-310-9689",
            "fax_number": "800-317-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 10TH ST",
            "city": "PORT ROYAL",
            "state": "SC",
            "postal_code": "299352310",
            "telephone_number": "843-310-9689",
            "fax_number": "800-317-9690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOEBEL",
        "first_name": "KELLEY",
        "middle_name": "M",
        "credential": "OTR/L, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-22",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "4364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "4364",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "FOX REHABILITATION SERVICES AZ LLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "10101 W Palmeras Dr",
            "city": "Sun City",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853732046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anna Jean Keating, FNP-BC
• Charmaine Marie Kelly, PA-C
• Bradley Kennedy, D.P.T.
• Denise Kerby, CNP
• Kelsey Knight
• Demetrajane Kokinakis, DO
• Leah Carter Lafountain, NP
• Landmark Recovery of Columbia LLC
• Alexis Lawton
• Gregory P Lonscak, DC, DNP, FNP-C

• Occupational Therapist in Port Royal, SC
• Providers in Port Royal, SC by specialty
• Occupational Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.