Individual provider Active NPI

Kylie Dishman

  • Occupational Therapist
  • Greenville, SC
National Provider Identifier
1730978859
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
7521 Issued in SC
Practice address
28 Jimmy Doolittle Dr
Greenville, SC 29607-2622
Phone
(864) 679-8606
NPI assigned
May 5, 2025
Last updated
Aug 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 7521 SC Primary

Addresses

Primary practice location

28 Jimmy Doolittle Dr
Greenville, SC 29607-2622

Mailing address

PO Box 170038
Spartanburg, SC 29301-0020

Other practice location 1

10 Jimmy Doolittle Dr Ste A
Greenville, SC 29607-2622
Phone (864) 520-8910

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

LicenseStateTypeSpecialty
7521SCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ats Kids LLC Occupational Therapist CurrentSince Jun 3, 2025 Accepting new patients
Advanced Therapy Solutions, Inc. Occupational Therapist PastSince May 11, 2025 Accepting new patients
Advanced Therapy Solutions, Inc Occupational Therapist PastSince May 11, 2025 Accepting new patients

Locations

10 Jimmy Doolittle Dr
#A
Greenville, SC 29607
Phone (864) 520-8910

100 Willow Ln
Spartanburg, SC 29307
Phone (864) 542-8714

2400 Winchester Pl
Ste 102B
Spartanburg, SC 29301
Phone (864) 576-7188

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1746403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1730978859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 170038",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293010020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 JIMMY DOOLITTLE DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072622",
            "telephone_number": "864-679-8606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Jimmy Doolittle Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296072622",
            "country_code": "US",
            "telephone_number": "864-520-8910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DISHMAN",
        "first_name": "KYLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-05",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "7521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; 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.