Individual provider Active NPI

Lydia Grace Durant

  • Occupational Therapist
  • Lexington, SC
National Provider Identifier
1053120139
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
7446 Issued in SC
Practice address
714 S Lake Dr
Lexington, SC 29072-3462
Phone
(803) 356-4782
Fax
(803) 996-4782
NPI assigned
Jan 3, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 7446 SC Primary

Addresses

Primary practice location

714 S Lake Dr
Lexington, SC 29072-3462

Mailing address

181 Town Creek Rd
Aiken, SC 29803-5841
Phone (803) 642-0700

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

LicenseStateTypeSpecialty
7446SCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Therapy of Aiken, LLC Occupational Therapist CurrentSince Jan 5, 2025 Accepting new patients
Pediatric Therapy of Aiken, LLC CurrentSince Jan 5, 2025 Accepting new patients

Locations

181 Town Creek Rd
Aiken, SC 29803
Phone (803) 642-0700

714 S Lake Dr
Ste 150
Lexington, SC 29072
Phone (803) 356-4782

Organizations & group practices 2

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": "1735862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1053120139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 TOWN CREEK RD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298035841",
            "telephone_number": "803-642-0700",
            "fax_number": "803-642-0588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 S LAKE DR",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290723462",
            "telephone_number": "803-356-4782",
            "fax_number": "803-996-4782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURANT",
        "first_name": "LYDIA",
        "middle_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-03",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "7446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.