Katie Olini, MS, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2011 Issued in SC

Practice address

3302 Robert M Grissom Pkwy
Myrtle Beach, SC 29577-6401

Phone

(843) 445-2051

NPI assigned

Jan 18, 2017

Last updated

Jan 18, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484697600000",
    "number": "1346786092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3827 MAYPOP CIR",
            "address_2": "UNIT 317",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295881407",
            "telephone_number": "732-778-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3302 ROBERT M GRISSOM PKWY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295776401",
            "telephone_number": "843-445-2051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLINI",
        "first_name": "KATIE",
        "credential": "MS, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-18",
        "last_updated": "2017-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "SC",
            "license": "2011",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00214300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Viviana Angelina Ojeda
• Beatriz Ojito
• Megan Elizabeth Okelley, NP
• Oleander Family and Cosmetic Dentistry, LLC
• Leslie Oleszkowicz, FNP-C
• Jennifer Lynne Olivarez, DO
• David Oliver, DO
• Pearce Robert Ollar, DMD
• Diane Olski, MD
• Robert Christian Lee Olson, DO

• Athletic Trainer in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Athletic Trainer in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.