Kaylee Jayanne Tate, MS OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT5489 Issued in SC

Practice address

1051 Johnnie Dodds Blvd Ste G
Mount Pleasant, SC 29464-3100

Phone

(828) 778-8333

NPI assigned

Feb 26, 2019

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Holy City Pediatric Therapy LLC

  • Clinic/Center
  • Daniel Island, SC
  • NPI 1639568231

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1551139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1649737511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 CAROL OAKS DR",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294666501",
            "telephone_number": "423-388-5198",
            "fax_number": "888-443-6471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 JOHNNIE DODDS BLVD STE G",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643100",
            "telephone_number": "828-778-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "KAYLEE",
        "middle_name": "JAYANNE",
        "credential": "MS OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-26",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "OT5489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP7838",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stafford Dale Tanner, D.M.D. PA
• Teresa Tanner, PTA
• Whitney J Tapp, MA
• Sami Paul Tarabishy, MD
• Karen Lynn Tarpey, MSW
• Sara S Tavares, PT, MSR, NCS
• Alicia Taylor, M.S. CCC-SLP
• Amanda Grace Oswald Taylor, FNP-C
• Jaclyn Taylor
• Jessica Taylor

• Occupational Therapist in Mount Pleasant, SC
• Providers in Mount Pleasant, 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 Feb 26, 2019; 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.