Kayla Elizabeth Gardner, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

6267 Issued in SC

Practice address

148 Sauls St Ste B
Lake City, SC 29560-2677

Phone

(843) 374-0185

Fax

(843) 374-0189

NPI assigned

Jan 17, 2020

Last updated

Jun 29, 2023By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elite Hand and Upper Extremity TherapyGroup PAC ID 3678904620, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Elite Hand and Upper Extremity Therapy

  • Hand Occupational Therapist
  • North Myrtle Beach, SC
  • NPI 1467086926
  Medicare reassignment Care Compare group NPD
• Pro-Motion Physical Therapy of Florence, SC, LLC

  • Physical Therapist
  • Lake City, SC
  • NPI 1821474115

  Occupational Therapist

  Medicare reassignment NPD
• Ih3 Physcial Therapy

  dba CPM Physical Therapy

  • Physical Therapy Clinic/Center
  • Lake City, SC
  • NPI 1104145697
  NPD

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

{
    "created_epoch": "1579219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1508496548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6526",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292606526",
            "telephone_number": "803-693-5040",
            "fax_number": "803-993-9472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 SAULS ST STE B",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295602677",
            "telephone_number": "843-374-0185",
            "fax_number": "843-374-0189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 W Palmetto St",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "SC",
            "postal_code": "295014302",
            "country_code": "US",
            "telephone_number": "843-407-0377",
            "fax_number": "843-799-1944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "KAYLA",
        "middle_name": "ELIZABETH",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-17",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "6267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alecia B Frierson
• Sarah Lisa Frierson, FNP
• Patty Fulmore
• Ariel Louise Gadsden
• Elizabeth Gamble, RN
• Michele Renee Gaskins, RN
• Sherman Earl Gaskins
• Maureen Elizabeth Gentry, D.P.T.
• Lafelle S Gist
• Clara Glasscho, RN,C

• Occupational Therapist in Lake City, SC
• Providers in Lake City, 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 Jun 29, 2023; 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.