Individual provider Active NPI

Nicole Pytlinski, M.S., OTR/L

  • Occupational Therapist
  • Fort Mill, SC
National Provider Identifier
1114782794
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
6807 Issued in SC
Practice address
1698 Highway 160 W Ste 240
Fort Mill, SC 29708-8035
Phone
(704) 654-8599
Fax
(980) 938-6088
NPI assigned
Feb 14, 2024
Last updated
Nov 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 15906 NC
Occupational Therapist 225X00000X 6807 SC Primary

Addresses

Primary practice location

1698 Highway 160 W Ste 240
Fort Mill, SC 29708-8035

Mailing address

1698 Highway 160 W Ste 240
Fort Mill, SC 29708-8035
Phone (704) 654-8599

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
6807SCMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1114782794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1698 HIGHWAY 160 W STE 240",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297088035",
            "telephone_number": "704-654-8599",
            "fax_number": "980-938-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1698 HIGHWAY 160 W STE 240",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297088035",
            "telephone_number": "704-654-8599",
            "fax_number": "980-938-6088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PYTLINSKI",
        "first_name": "NICOLE",
        "credential": "M.S., OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-14",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "15906",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "6807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.