Active NPI
Kathleen E Todd, OT
- Occupational Therapist
- Myrtle Beach, SC
National Provider Identifier
1851417349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2343
- Practice address
- 201 Brightwater Dr
Myrtle Beach, SC 29579-8298 - Phone
- (843) 903-8958
- NPI assigned
- Mar 22, 2007
- Last updated
- Apr 27, 2012
- Sex
- Female
- Sole proprietor
- No
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 | 2343 | SC | Primary |
Addresses
Primary practice location
201 Brightwater Dr
Myrtle Beach, SC 29579-8298
Mailing address
PO Box 31394
Myrtle Beach, SC 29588-0024
Other names 1
- Ms. Kathleen E White
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335484800000",
"number": "1851417349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31394",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295880024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 BRIGHTWATER DR",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295798298",
"telephone_number": "843-903-8958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TODD",
"first_name": "KATHLEEN",
"middle_name": "E",
"name_prefix": "Mrs.",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-22",
"last_updated": "2012-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "2343",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHLEEN",
"last_name": "WHITE",
"middle_name": "E",
"prefix": "MS.",
"credential": "OT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.