Individual provider Active NPI

Lydia Grace Walker, COTA/L

  • Occupational Therapy Assistant
  • Summerville, SC
National Provider Identifier
1790658102
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
493765 Issued in SC
Practice address
9730 Dorchester Rd Unit 206
Summerville, SC 29485-9034
Phone
(843) 594-3032
NPI assigned
Sep 24, 2025
Last updated
Sep 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 493765 SC Primary

Addresses

Primary practice location

9730 Dorchester Rd Unit 206
Summerville, SC 29485-9034

Mailing address

315 Salkahatchie St
Summerville, SC 29485-6832

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
493765SCMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hears 2 You LLC CurrentSince Sep 28, 2025 Accepting new patients
Palmetto Hearing Care Center, LLC CurrentSince Sep 28, 2025 Accepting new patients

Locations

9730 Dorchester Rd
Unit 206
Summerville, SC 29485
Phone (843) 364-6361

Organizations & group practices 2

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": "1758672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1790658102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 SALKAHATCHIE ST",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294856832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9730 DORCHESTER RD UNIT 206",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294859034",
            "telephone_number": "843-594-3032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "LYDIA",
        "middle_name": "GRACE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-24",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "SC",
            "license": "493765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.