Rachelle Lydell, OTD, MSOT, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

6682 Issued in SC

Practice address

201 W Evans St
Florence, SC 29501-3427

Phone

(843) 661-1667

Fax

(843) 661-2551

NPI assigned

Mar 24, 2015

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Francis Marion University

  • Speech-Language Pathologist
  • Florence, SC
  • NPI 1538750880
  NPD

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

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1932593415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100547",
            "address_2": "LUTHER F. CARTER CENTER #348",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295020547",
            "telephone_number": "843-661-1667",
            "fax_number": "843-661-2551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W EVANS ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295013427",
            "telephone_number": "843-661-1667",
            "fax_number": "843-661-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYDELL",
        "first_name": "RACHELLE",
        "name_prefix": "Dr.",
        "credential": "OTD, MSOT, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-24",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "6682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "019577",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adelaida C Lucena, PT
• Carrie F Lusk, MA
• Clifford Dale Lusk, MD
• Luxottica of America Inc.
• Luxottica Retail North America Inc
• Lydes Medical Supplies
• Callie Rumfelt Lyew, APRN, FNP-C
• Diane Lyles
• Kelly Waters Lyles, MD
• Lymin Inc

• Occupational Therapist in Florence, SC
• Providers in Florence, 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 Mar 29, 2023; 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.