Kelly Rebecca Anderson, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

3860 Issued in SC

Practice address

2383 Highway 41
Suite 101
Mount Pleasant, SC 29466-2447

Phone

(843) 556-1070

Fax

(843) 556-6742

NPI assigned

Sep 7, 2011

Last updated

Sep 7, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315353600000",
    "number": "1881975647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 WREN CROSSING LN",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296427859",
            "telephone_number": "864-640-9331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2383 HIGHWAY 41",
            "address_2": "SUITE 101",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294662447",
            "telephone_number": "843-556-1070",
            "fax_number": "843-556-6742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KELLY",
        "middle_name": "REBECCA",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-07",
        "last_updated": "2011-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "3860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anchora Medical Supplies, LLC
• Melanie Andersen
• Charles Middleton Anderson, DMD
• Dennis E Anderson, D.C.
• Erin Elizabeth Anderson, CPNP
• Keshala Verne' Anderson, NP
• Thomas Shannon Anderson, MD
• Morgan Andrejchak, MD
• Elizabeth E Andrews, PT, DPT
• Kristopher A Andrews

• Occupational Therapist in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Occupational Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; 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.