Individual provider Active NPI

Lauren Michelle Colebank, OTR/L

  • Occupational Therapist
  • Rock Hill, SC
National Provider Identifier
1891028734
Registry record updated Sep 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3583 Issued in SC
Practice address
530 Joslin Pointe LN
Rock Hill, SC 29732-7610
Phone
(803) 328-8664
NPI assigned
Sep 10, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 3583 SC Primary

Addresses

Primary practice location

530 Joslin Pointe LN
Rock Hill, SC 29732-7610

Mailing address

530 Joslin Pointe LN
Rock Hill, SC 29732-7610
Phone (803) 328-8664

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
3583SCMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252540800000",
    "number": "1891028734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 JOSLIN POINTE LN",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297327610",
            "telephone_number": "803-328-8664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 JOSLIN POINTE LN",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297327610",
            "telephone_number": "803-328-8664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEBANK",
        "first_name": "LAUREN",
        "middle_name": "MICHELLE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-10",
        "last_updated": "2009-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "3583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; 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.