Kailey Grace Clegg, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

5378 Issued in SC

Practice address

104 Maxwell Ave
Greenwood, SC 29646-2641

Phone

(864) 229-7529

NPI assigned

Mar 1, 2022

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1720734627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3023",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296483023",
            "telephone_number": "864-229-7529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MAXWELL AVE",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296462641",
            "telephone_number": "864-229-7529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEGG",
        "first_name": "KAILEY",
        "middle_name": "GRACE",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-01",
        "last_updated": "2022-03-01",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "SC",
            "license": "5378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher T. Griffin, DMD
• Ansley Cromer Clamp
• Jayne Stafford Clark
• Samuel L Clarke, MD
• Elizabeth Clegg, PHARMD
• Lily Joelle Clegg
• Sudie M Clem, MSW
• Clint T. Seymour, Inc.
• Lizette G Cloete, OTR/L
• Kelli Diane Clune, APRN

• Occupational Therapy Assistant in Greenwood, SC
• Providers in Greenwood, SC by specialty
• Occupational Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; 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.