Active NPI
Lauren Kitch
- Occupational Therapist
- Greenville, SC
National Provider Identifier
1912336066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4200
- Practice address
- 28 Jimmy Doolittle Dr
Greenville, SC 29607-2622 - Phone
- (864) 679-8606
- NPI assigned
- Nov 8, 2013
- 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 | 4200 | SC | Primary |
Addresses
Primary practice location
28 Jimmy Doolittle Dr
Greenville, SC 29607-2622
Mailing address
28 Jimmy Doolittle Dr
Greenville, SC 29607-2622
Phone (864) 679-8606
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4200 | Other | SC | SC LICENSE NUMBER |
Other names 1
- Lauren Wells
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4200 | SC | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Therapy Solutions, Inc. | Occupational Therapist | Past | Accepting new patients |
| Advanced Therapy Solutions, Inc | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Occupational Therapist
- Greenville, SC
- NPI 1528593589
-
- Physical Therapist
- Spartanburg, SC
- NPI 1235197914
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383868800000",
"number": "1912336066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 JIMMY DOOLITTLE DR",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296072622",
"telephone_number": "864-679-8606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 JIMMY DOOLITTLE DR",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296072622",
"telephone_number": "864-679-8606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KITCH",
"first_name": "LAUREN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-08",
"last_updated": "2013-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "4200",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SC LICENSE NUMBER",
"identifier": "4200",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LAUREN",
"last_name": "WELLS",
"credential": "OT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.