Lymphedema Wellness, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

LYMPHEDEMA WELLNESS, LLC

Practice address

236 Confederate Cir
Charleston, SC 29407-7429

Phone

(843) 718-5898

NPI assigned

Apr 13, 2020

Organization subpart

No

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

Authorized official

Name

Mary Katherine Melroy, OT

Title

Occupational Therapist/Owner

Phone

(843) 718-5898

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590105600000",
    "number": "1356960090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 CONFEDERATE CIR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077429",
            "telephone_number": "843-718-5898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 CONFEDERATE CIR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077429",
            "telephone_number": "843-718-5898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYMPHEDEMA WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-13",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A",
        "authorized_official_last_name": "MELROY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "KATHERINE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "843-718-5898",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaquan Nicole Lyde, PHARMD
• Georgia Lydon, MD
• Joshua Joseph Lykowski, AGACNP
• Elliott Watson Lyles, DO
• Lymin, Inc.
• Ashley Lynah
• Charles Lynam, DMD
• Kathryn Brandt Lynam, MD
• Cheryl P Lynch, MD
• Joseph Michael Lynch, D.O.

• Occupational Therapist in Charleston, SC
• Providers in Charleston, 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 May 22, 2020; 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.