Individual provider Active NPI

Katelyn Amanda Travis, MSOTR/L

  • Occupational Therapist
  • Lexington, SC
National Provider Identifier
1336505361
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
7482 Issued in SC
Practice address
714 S Lake Dr Ste 150
Lexington, SC 29072-3473
Phone
(803) 356-4782
Fax
(803) 642-0588
NPI assigned
Jan 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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 OT009812 GA
Occupational Therapist 225X00000X 7482 SC Primary

Addresses

Primary practice location

714 S Lake Dr Ste 150
Lexington, SC 29072-3473

Mailing address

200 Windridge LN Apt 5
Florence, KY 41042-9422

Other practice location 1

181 Town Creek Rd
Aiken, SC 29803-5841
Phone (038) 642-0700

Other practice location 2

3650 J Dewey Gray Cir
Augusta, GA 30909-1867
Phone (706) 863-9797

Other practice location 3

410 University Pkwy Ste 11001200
Aiken, SC 29801-6810
Phone (803) 649-2250

Other practice location 4

811 13th St Ste 20
Augusta, GA 30901-2771
Phone (706) 303-1511

Other practice location 5

1298 Interstate Pkwy
Augusta, GA 30909-6480
Phone (706) 229-6102

Other practice location 6

399 Silver Bluff Rd
Aiken, SC 29803-6007
Phone (803) 293-1540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20251205002780 SC Practitioner - Occupational Therapist in Private Practice 3274026315 Reassigns benefits to 1 organization
I20260414003749 GA Practitioner - Occupational Therapist in Private Practice 3274026315 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Augusta Orthopedic and Sports Medicine Specialists, PCGroup PAC ID 8527052463, shared by 2 NPIs, 55 clinicians

Practice addresses (Care Compare)

3650 J Dewey Gray Cir
Augusta, GA 30909-1867
Phone (706) 863-9797

410 University Pkwy
Suite 1000
Aiken, SC 29801-6800
Phone (803) 644-4264

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7482SCMDFamily Medicine Physician
OT009812GAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Augusta Orthopedic & Sports Medicine Specialists PC CurrentSince Sep 21, 2025 Accepting new patients
Augusta Orthopedic & Sports Medicine Specialists PC CurrentSince Mar 31, 2026 Accepting new patients
Pediatric Therapy of Aiken, LLC PastSince Dec 13, 2022 Accepting new patients
Pediatric Therapy of Aiken, LLC Occupational Therapist PastSince Dec 9, 2019 Accepting new patients

Locations

1298 Interstate Pkwy
Augusta, GA 30909
Phone (706) 229-6102

1298 Interstate Pkwy
#A
Augusta, GA 30909
Phone (706) 863-9797

3650 J Dewey Gray Cir
Augusta, GA 30909
Phone (706) 863-9797

811 13th St
Ste 20
Augusta, GA 30901
Phone (706) 722-3401

2511 Associates Way
Evans, GA 30809
Phone (706) 722-3401

410 University Pkwy
Ste 11001200
Aiken, SC 29801
Phone (803) 649-2250

410 University Pkwy
Ste 1000
Aiken, SC 29801
Phone (803) 644-4264

399 Silver Bluff Rd
Aiken, SC 29803
Phone (803) 293-1540

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23890/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1452038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1336505361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WINDRIDGE LN APT 5",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410429422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 S LAKE DR STE 150",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290723473",
            "telephone_number": "803-356-4782",
            "fax_number": "803-642-0588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "181 Town Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Aiken",
            "state": "SC",
            "postal_code": "298035841",
            "country_code": "US",
            "telephone_number": "038-642-0700",
            "fax_number": "803-642-0588",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3650 J Dewey Gray Cir",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309091867",
            "country_code": "US",
            "telephone_number": "706-863-9797",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "410 University Pkwy Ste 11001200",
            "address_purpose": "LOCATION",
            "city": "Aiken",
            "state": "SC",
            "postal_code": "298016810",
            "country_code": "US",
            "telephone_number": "803-649-2250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "811 13th St Ste 20",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309012771",
            "country_code": "US",
            "telephone_number": "706-303-1511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1298 Interstate Pkwy",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309096480",
            "country_code": "US",
            "telephone_number": "706-229-6102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "399 Silver Bluff Rd",
            "address_purpose": "LOCATION",
            "city": "Aiken",
            "state": "SC",
            "postal_code": "298036007",
            "country_code": "US",
            "telephone_number": "803-293-1540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAVIS",
        "first_name": "KATELYN",
        "middle_name": "AMANDA",
        "name_prefix": "Mrs.",
        "credential": "MSOTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-06",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT009812",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "7482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.