Victoria Lynn Grant, OTRL

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

.6002 Issued in SC

Practice address

603 W Carolina Ave
Hartsville, SC 29550-4443

Phone

(843) 332-3600

NPI assigned

Jan 27, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Therapeutic Designs and Services

  • Occupational Therapist
  • Hartsville, SC
  • NPI 1336198951
  NPD (past)

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1255922969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17597 HIGHWAY 102",
            "city": "PATRICK",
            "state": "SC",
            "postal_code": "295844247",
            "telephone_number": "843-307-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 W CAROLINA AVE",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295504443",
            "telephone_number": "843-332-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "VICTORIA",
        "middle_name": "LYNN",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-27",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "SC",
            "license": ".6002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "603WestCarolinaAveHartsvilleSC29550",
            "affiliation": "Y",
            "endpointDescription": "Office",
            "affiliationName": "Therapeutic Designs and Services",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "603 W Carolina Ave",
            "city": "Hartsville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295504443",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "603WestCarolinaAveHartsvilleSC29550",
            "affiliation": "Y",
            "endpointDescription": "Office",
            "affiliationName": "Therapeutic Designs and Services",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "603 W Carolina Ave",
            "city": "Hartsville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295504443",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "603WestCarolinaAveHartsvilleSC29550",
            "affiliation": "Y",
            "endpointDescription": "Office",
            "affiliationName": "Therapeutic Designs and Services",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "603 W Carolina Ave",
            "city": "Hartsville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295504443",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "603WestCarolinaAveHartsvilleSC29550",
            "affiliation": "Y",
            "endpointDescription": "Office",
            "affiliationName": "Therapeutic Designs and Services",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "603 W Carolina Ave",
            "city": "Hartsville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295504443",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "603WestCarolinaAveHartsvilleSC29550",
            "affiliation": "Y",
            "endpointDescription": "Office",
            "affiliationName": "Therapeutic Designs and Services",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "603 W Carolina Ave",
            "city": "Hartsville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295504443",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "603WestCarolinaAveHartsvilleSC29550",
            "affiliation": "Y",
            "endpointDescription": "Office",
            "affiliationName": "Therapeutic Designs and Services",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "603 W Carolina Ave",
            "city": "Hartsville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295504443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Edwin H Goranson, CRNA
• Almeda Myers Graham
• Kenya Graham
• Rochelle Simone Graham, LPC
• Pamela Denise Grant, FNP
• Emily Kay Gurley Graves, SLPA, SLP-CF
• Tiffany Nicole Graves
• Jessica Green, LPC
• Rachel Kuegler Greenfield, PA-C
• Gregory S Connor, MD, PA

• Pediatric Occupational Therapist in Hartsville, SC
• Providers in Hartsville, SC by specialty
• Pediatric Occupational Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.