Active NPI
Kaitlyn Arthur Smallwood, OTR
- Occupational Therapist
- Aiken, SC
National Provider Identifier
1821508631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5101
- Practice address
- 181 Town Creek Rd
Aiken, SC 29803-5841 - Phone
- (803) 642-0700
- Fax
- (803) 642-0588
- NPI assigned
- Oct 6, 2017
- Last updated
- Mar 17, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 5101 | SC | Primary |
Addresses
Primary practice location
181 Town Creek Rd
Aiken, SC 29803-5841
Mailing address
181 Town Creek Rd
Aiken, SC 29803-5841
Phone (803) 642-0700
Other practice location 1
714 S Lake Dr Ste 151
Lexington, SC 29072-3462
Phone (803) 356-4782
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Pediatric Therapy of Aiken, LLC | Occupational Therapist | Past | Accepting new patients |
| Pediatric Therapy of Aiken, LLC | Past | Accepting new patients |
Locations
1120 15th St
Augusta, GA 30912
Phone (706) 721-3873
Organizations & group practices 4
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.
-
dba WellStar Family Medicine ACW
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
dba Pediatric Therapy Associates, LLC
- Occupational Therapist
- Aiken, SC
- NPI 1164661609
-
- Durable Medical Equipment & Medical Supplies
- Aiken, SC
- NPI 1588002026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1821508631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "181 TOWN CREEK RD",
"city": "AIKEN",
"state": "SC",
"postal_code": "298035841",
"telephone_number": "803-642-0700",
"fax_number": "803-642-0588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 TOWN CREEK RD",
"city": "AIKEN",
"state": "SC",
"postal_code": "298035841",
"telephone_number": "803-642-0700",
"fax_number": "803-642-0588"
}
],
"practiceLocations": [
{
"address_1": "714 S Lake Dr Ste 151",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "SC",
"postal_code": "290723462",
"country_code": "US",
"telephone_number": "803-356-4782",
"fax_number": "803-996-4782",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMALLWOOD",
"first_name": "KAITLYN",
"middle_name": "ARTHUR",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-06",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "5101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aiken, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.