Active NPI
Kristine Kealey, O.T.
- Occupational Therapist
- Columbia, SC
National Provider Identifier
1639147572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1142
- Practice address
- Moore Orthopaedic Clinic, P.a.
14 Medical Park Suite 200
Columbia, SC 29203 - Phone
- (803) 227-8000
- Fax
- (803) 227-8015
- NPI assigned
- Mar 8, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 1142 | SC | Primary |
Addresses
Primary practice location
Moore Orthopaedic Clinic, P.a.
14 Medical Park Suite 200
Columbia, SC 29203
Mailing address
PO Box 843384
Moore Orthopaedic Clinic, P.a.
Boston, MA 02284-3384
Phone (803) 227-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1142 | Other | SC | OT LICENSE # |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Orthopaedic Group LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Moore Orthopaedic Clinic
- Orthopaedic Surgery Physician
- Columbia, SC
- NPI 1255308342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1639147572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 843384",
"address_2": "MOORE ORTHOPAEDIC CLINIC, P.A.",
"city": "BOSTON",
"state": "MA",
"postal_code": "022843384",
"telephone_number": "803-227-8000",
"fax_number": "803-227-8015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MOORE ORTHOPAEDIC CLINIC, P.A.",
"address_2": "14 MEDICAL PARK SUITE 200",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29203",
"telephone_number": "803-227-8000",
"fax_number": "803-227-8015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEALEY",
"first_name": "KRISTINE",
"credential": "O.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-08",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "1142",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OT LICENSE #",
"identifier": "1142",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.