Individual provider Active NPI

Lauren Amanda Quick, OT

  • Occupational Therapist
  • Charleston, SC
National Provider Identifier
1477153591
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
1640 Ashley Hall Rd
Charleston, SC 29407-3824
Phone
(774) 721-6252
Fax
(855) 504-4089
NPI assigned
Oct 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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 Primary

Addresses

Primary practice location

1640 Ashley Hall Rd
Charleston, SC 29407-3824

Mailing address

1640 Ashley Hall Rd
Charleston, SC 29407-3824
Phone (774) 721-6252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Performance Concepts, LLC CurrentSince Sep 12, 2021 Accepting new patients
Charleston OT LLC Occupational Therapist CurrentSince Nov 1, 2020 Accepting new patients

Locations

1640 Ashley Hall Rd
Charleston, SC 29407
Phone (774) 721-6252

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1477153591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 ASHLEY HALL RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294073824",
            "telephone_number": "774-721-6252",
            "fax_number": "855-504-4089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 ASHLEY HALL RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294073824",
            "telephone_number": "774-721-6252",
            "fax_number": "855-504-4089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUICK",
        "first_name": "LAUREN",
        "middle_name": "AMANDA",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-28",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.