Individual provider Active NPI

Kristin Lynn Blank, OTR/L

  • Hand Occupational Therapist
  • Beaufort, SC
National Provider Identifier
1831419803
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
4418 Issued in SC
Practice address
2121 Boundary St Ste 200
Beaufort, SC 29902-6812
Phone
(843) 524-4778
Fax
(843) 524-4779
NPI assigned
Jun 1, 2010
Last updated
Dec 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 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 4418 SC
Hand Occupational Therapist 225XH1200X 4418 SC Primary

Addresses

Primary practice location

2121 Boundary St Ste 200
Beaufort, SC 29902-6812

Mailing address

2682 Broad St
Beaufort, SC 29902-6371
Phone (717) 404-2730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160126001241 SC Practitioner - Occupational Therapist in Private Practice 9739320383 Reassigns benefits to 3 organizations
I20210217002453 GA Practitioner - Occupational Therapist in Private Practice 9739320383 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gravity Physical Therapy IncGroup PAC ID 4789984832, 8 clinicians

Practice addresses (Care Compare)

2121 Boundary St
Suite 200
Beaufort, SC 29902-6812
Phone (843) 524-4778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4418SCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cora South Carolina LLC CurrentSince Jan 22, 2019 Accepting new patients
Cora South Carolina LLC CurrentSince Jan 22, 2019 Accepting new patients
Optim Orthopedics, LLC CurrentSince Feb 1, 2021 Accepting new patients
Optim Orthopedics, LLC CurrentSince Feb 1, 2021 Accepting new patients
Gravity Physical Therapy, Inc. Occupational Therapist CurrentSince Feb 20, 2024 Accepting new patients
Optim Orthopedics, LLC CurrentSince Feb 1, 2021 Accepting new patients
Optim Orthopedics, LLC PastSince Oct 6, 2019 Accepting new patients

Locations

210 E Derenne Ave
Savannah, GA 31405
Phone (912) 355-0140

18 Professional Village Cir
Beaufort, SC 29907
Phone (843) 521-9673

2121 Boundary St
Ste 200
Beaufort, SC 29902
Phone (843) 379-2320

8201 Pinellas Dr
Bluffton, SC 29910
Phone (843) 705-9401

876 Fording Island Rd
Ste 2
Bluffton, SC 29910
Phone (843) 507-8473

Organizations & group practices 7

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": "1275350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1831419803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2682 BROAD ST",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299026371",
            "telephone_number": "717-404-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 BOUNDARY ST STE 200",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299026812",
            "telephone_number": "843-524-4778",
            "fax_number": "843-524-4779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANK",
        "first_name": "KRISTIN",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-01",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "4418",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "SC",
            "license": "4418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.