Kimberly Logan Craig, COTAL

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2499 Issued in SC

Practice address

3400 Anderson Rd
Ste C
Greenville, SC 29611

Phone

(864) 295-9890

NPI assigned

Apr 26, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Allegiant Pediatrics LLC

  • Pediatric Physical Therapist
  • Greenville, SC
  • NPI 1013306620
  NPD (past)
• The Care Center Inc.

  • Pediatric Physical Therapist
  • Greenville, SC
  • NPI 1326059288
  NPD (past)

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164642930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97",
            "city": "TRAVELERS REST",
            "state": "SC",
            "postal_code": "296900097",
            "telephone_number": "864-246-7396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 ANDERSON RD",
            "address_2": "STE C",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29611",
            "telephone_number": "864-295-9890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "KIMBERLY",
        "middle_name": "LOGAN",
        "name_prefix": "Mrs.",
        "credential": "COTAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "SC",
            "license": "2499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Craft, DO
• Lorraine Julie Cragan-Sullivan, LMSW
• Charlie Danielle Craig
• Clifton Craig, RBT
• Elizabeth Craig
• Lauren E Craig, OTR/L
• Mary E Craig, NP-FAMILY
• Mattison Williams Craig, NP
• Monica June Craig
• Pamela Craig, LPN

• Occupational Therapy Assistant in Greenville, SC
• Providers in Greenville, SC by specialty
• Occupational Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.