Individual provider Active NPI

Kerri Nicole Lively, OT

  • Occupational Therapist
  • Greer, SC
National Provider Identifier
1780763086
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2500 Issued in SC
Practice address
1305 S Suber Rd
Greer, SC 29650-0944
Phone
(864) 989-4700
NPI assigned
Nov 6, 2006
Last updated
Jan 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT003192 GA
Occupational Therapist 225X00000X 2500 SC Primary

Addresses

Primary practice location

1305 S Suber Rd
Greer, SC 29650-0944

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211

Other names 1

  • Kerri Nicole Brown Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140418000472 SC Practitioner - Occupational Therapist in Private Practice 8527290840 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Medical College of Georgia School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greenville Proaxis Therapy LLCGroup PAC ID 0244267771, 221 clinicians

Practice addresses (Care Compare)

103 N Main St
Suite 201
Greenville, SC 29601-2756
Phone (864) 528-5753

1305 S Suber Rd
Greer, SC 29650-0944
Phone (864) 989-4700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2500SCMDPhysical Therapy Assistant
OT003192GAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Feb 3, 2015 Accepting new patients
Advanced Therapy Solutions, Inc. Occupational Therapist CurrentSince Feb 4, 2014 Accepting new patients
Prisma Health University Medical Group CurrentSince Feb 3, 2015 Accepting new patients
Greenville Proaxis Therapy, LLC Occupational Therapist CurrentSince Apr 28, 2014 Accepting new patients
Advanced Therapy Solutions, Inc. Occupational Therapist CurrentSince Feb 4, 2014 Accepting new patients
Greenville Proaxis Therapy LLC Occupational Therapist CurrentSince Apr 28, 2014 Accepting new patients
McLeod Health Clarendon Past Accepting new patients
Ats Kids LLC Occupational Therapist PastSince Jun 3, 2025 Accepting new patients
Sumter Physical Therapy Clinic, LLC Occupational Therapist PastSince Jan 1, 1999 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

33205 Collection Ctr Dr
Chicago, IL 60693

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

838 Powdersville Rd
Ste T
Easley, SC 29642
Phone (864) 671-1650

1011 Frontage Rd
Greenville, SC 29615
Phone (864) 242-4263

103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753

2 Doctors Dr
Greenville, SC 29605
Phone (864) 558-8955

200 Patewood Dr
Ste C250
Greenville, SC 29615
Phone (864) 454-0952

1305 S Suber Rd
Greer, SC 29650
Phone (864) 989-4609

727 SE Main St
Ste 200
Simpsonville, SC 29681
Phone (864) 454-6670

333 S Pine St
Spartanburg, SC 29302
Phone (864) 515-7500

8811 Warren H Abernathy Hwy
Spartanburg, SC 29301
Phone (864) 574-7282

Organizations & group practices 9

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": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1780763086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 S SUBER RD",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296500944",
            "telephone_number": "864-989-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVELY",
        "first_name": "KERRI",
        "middle_name": "NICOLE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT003192",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "2500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERRI",
            "last_name": "BROWN",
            "middle_name": "NICOLE",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greer, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.