Individual provider Active NPI

Kaitlyn Nicole McLaughlin, OT

  • Occupational Therapist
  • North Charleston, SC
National Provider Identifier
1164035549
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5855 Issued in SC
Practice address
9225 University Blvd Ste E2C
North Charleston, SC 29406-9149
Phone
(843) 569-4546
Fax
(843) 569-4535
NPI assigned
Aug 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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 5855 SC Primary

Addresses

Primary practice location

9225 University Blvd Ste E2C
North Charleston, SC 29406-9149

Mailing address

9225 University Blvd Ste E2C
North Charleston, SC 29406-9149
Phone (843) 569-4546

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address knmclaughlin@charlestonctc.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221115003124 SC Practitioner - Occupational Therapist in Private Practice 6901274380

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5855SCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Therapy, LLC Occupational Therapist Past Accepting new patients
Charleston St LLC PastSince Mar 5, 2023 Accepting new patients

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": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1164035549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9225 UNIVERSITY BLVD STE E2C",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069149",
            "telephone_number": "843-569-4546",
            "fax_number": "843-569-4535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9225 UNIVERSITY BLVD STE E2C",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069149",
            "telephone_number": "843-569-4546",
            "fax_number": "843-569-4535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLAUGHLIN",
        "first_name": "KAITLYN",
        "middle_name": "NICOLE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-26",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "5855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "knmclaughlin@charlestonctc.com",
            "affiliation": "N",
            "endpointDescription": "secured email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9225 University Blvd Ste E2C",
            "city": "North Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294069149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.