Kelsey Watson, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

6951 Issued in SC

Practice address

401 Nelson Blvd
Kingstree, SC 29556-4024

Phone

(843) 355-6116

NPI assigned

Jan 5, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1546646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1346713088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100B LYNCH RD",
            "city": "COWARD",
            "state": "SC",
            "postal_code": "295305502",
            "telephone_number": "423-291-0186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 NELSON BLVD",
            "city": "KINGSTREE",
            "state": "SC",
            "postal_code": "295564024",
            "telephone_number": "843-355-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "KELSEY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-05",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "7473",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "17235",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "6951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Jenkins Vereen, MASTERS
• Vital Aging of Williamsburg County, Inc.
• Frances Wadford, RN
• Donya Demesha Wallace, LPC
• Lucius Franklin Wates, DMD
• Jamie Roberts Webb, LPN
• Joseph Edmund Whetsell, RESPIRATORY THERAPIS
• Madison Graham Wiggins, PA-C
• Shawntoya Wilkerson
• Willamsburg Regional Hospital (Williamsburg Orthopedics)

• Occupational Therapist in Kingstree, SC
• Providers in Kingstree, SC by specialty
• Occupational Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.