Individual provider Active NPI

Lawrence Kamehameha Bruns, OTR/L

  • Occupational Therapist
  • Anderson, SC
National Provider Identifier
1386479343
Registry record updated Sep 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT.7318OT Issued in SC
Practice address
100 Healthy Way Ste 1200
Anderson, SC 29621-7916
Phone
(864) 512-6140
NPI assigned
Sep 7, 2024
Last updated
Sep 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT.7318OT SC Primary

Addresses

Primary practice location

100 Healthy Way Ste 1200
Anderson, SC 29621-7916

Mailing address

5565 Indian Mound Rd
Laurens, SC 29360-7914
Phone (864) 684-3721

Other names 1

  • Lawrence Kamehameha Tuccio Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241108001389 SC Practitioner - Occupational Therapist in Private Practice 5193259471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anmed HealthGroup PAC ID 1951215243, 348 clinicians

Practice addresses (Care Compare)

100 Healthy Way
Suite 1200
Anderson, SC 29621-7916
Phone (864) 716-6140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7318SCMDPediatric Physical Therapist
OT.7318OTSCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Anmed Health CurrentSince Aug 26, 2024 Accepting new patients
Anmed Health CurrentSince Aug 26, 2024 Accepting new patients
Anmed Health Current Accepting new patients

Locations

100 Healthy Way
Ste 1200
Anderson, SC 29621
Phone (864) 260-9910

2000 E Greenville St
Fl 3
Anderson, SC 29621
Phone (864) 225-5131

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1725667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725667200000",
    "number": "1386479343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5565 INDIAN MOUND RD",
            "city": "LAURENS",
            "state": "SC",
            "postal_code": "293607914",
            "telephone_number": "864-684-3721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HEALTHY WAY STE 1200",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296217916",
            "telephone_number": "864-512-6140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNS",
        "first_name": "LAWRENCE",
        "middle_name": "KAMEHAMEHA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-07",
        "last_updated": "2024-09-07",
        "certification_date": "2024-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "OT.7318OT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAWRENCE",
            "last_name": "TUCCIO",
            "middle_name": "KAMEHAMEHA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Anderson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2024; 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.