Kathryne Cammisa, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT000368 Issued in GA

Practice address

310 Barnwell Ave NE
Aiken, SC 29801-4406

Phone

(803) 641-4144

Fax

(804) 641-4147

NPI assigned

Dec 12, 2006

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

Other identifiers 4

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.

• Children'S Place, Inc

  • Community/Behavioral Health Agency
  • Aiken, SC
  • NPI 1225082027
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502928000000",
    "number": "1376604637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 WINTER ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309044418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 BARNWELL AVE NE",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298014406",
            "telephone_number": "803-641-4144",
            "fax_number": "804-641-4147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMMISA",
        "first_name": "KATHRYNE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2017-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "SC216",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT000368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "318108",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10033920",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000634389E",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PH0015",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Katharine Butker Williams, SLP INTERN
• Cherell S. Butler, LISW, CP & AP
• Kimberly Smoak Butler, BSN, RN
• Reginald Orlando Butler, PTA
• Aundia Caldwell
• Brittany Campbell, LMSW
• Mary Earle Campbell, M.S.
• Molly Campbell, LPC
• Ambar M Campos
• Cancer Center Associates of Carolina, P.a.

• Occupational Therapist in Aiken, SC
• Providers in Aiken, 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 Aug 17, 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.