Active NPI
Caitlin Weatherhead, MSOT, OTR/L
- Occupational Therapist
- Charleston, SC
National Provider Identifier
1659970218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT.5989
- Practice address
- 1611 Savannah Hwy Ste C
Charleston, SC 29407-2254 - Phone
- (843) 556-1745
- NPI assigned
- Oct 23, 2020
- 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 | OT.5989 | SC | Primary |
Addresses
Primary practice location
1611 Savannah Hwy Ste C
Charleston, SC 29407-2254
Mailing address
224 Rose Creek LN
Columbia, SC 29229-8849
Phone (803) 381-2401
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT.5989 | SC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603411200000",
"number": "1659970218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 ROSE CREEK LN",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292298849",
"telephone_number": "803-381-2401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 SAVANNAH HWY STE C",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294072254",
"telephone_number": "843-556-1745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEATHERHEAD",
"first_name": "CAITLIN",
"credential": "MSOT, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-23",
"last_updated": "2020-10-23",
"certification_date": "2020-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "OT.5989",
"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 23, 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.