Active NPI
Steven Paul Van Dyke, OTR/L
- Occupational Therapist
- Clover, SC
National Provider Identifier
1609025121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6977
- Practice address
- 707 Langley CT
Clover, SC 29710-6503 - Phone
- (704) 942-1114
- NPI assigned
- Sep 9, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 6977 | NC | Primary |
Addresses
Primary practice location
707 Langley CT
Clover, SC 29710-6503
Mailing address
707 Langley CT
Clover, SC 29710-6503
Phone (704) 942-1114
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6977 | NC | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775088000000",
"number": "1609025121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 LANGLEY CT",
"city": "CLOVER",
"state": "SC",
"postal_code": "297106503",
"telephone_number": "704-942-1114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 LANGLEY CT",
"city": "CLOVER",
"state": "SC",
"postal_code": "297106503",
"telephone_number": "704-942-1114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN DYKE",
"first_name": "STEVEN",
"middle_name": "PAUL",
"name_prefix": "Mr.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-09",
"last_updated": "2026-04-02",
"certification_date": "2026-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "6977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clover, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.