Active NPI
Katie Marie Ehlers Ford, OTR/L
- Pediatric Occupational Therapist
- Florence, SC
National Provider Identifier
1164972733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 4472
- Practice address
- 440 2ND Loop Rd
Florence, SC 29505-2814 - Phone
- (843) 777-4075
- NPI assigned
- Oct 7, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 4472 | SC | Primary |
Addresses
Primary practice location
440 2ND Loop Rd
Florence, SC 29505-2814
Mailing address
440 2ND Loop Rd
Florence, SC 29505-2814
Phone (843) 777-4075
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4472 | SC | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475798400000",
"number": "1164972733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 2ND LOOP RD",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295052814",
"telephone_number": "843-777-4075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 2ND LOOP RD",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295052814",
"telephone_number": "843-777-4075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "KATIE",
"middle_name": "MARIE EHLERS",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-07",
"last_updated": "2016-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "SC",
"license": "4472",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Florence, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.