Active NPI
Kelly Sauder, COTA/L
- Occupational Therapy Assistant
- Murrells Inlet, SC
National Provider Identifier
1942018031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 4859
- Practice address
- 9405 Highway 17 Byp
Murrells Inlet, SC 29576-9301 - Phone
- (843) 650-2213
- NPI assigned
- Dec 21, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 224Z00000X | 4859 | SC | Primary |
Addresses
Primary practice location
9405 Highway 17 Byp
Murrells Inlet, SC 29576-9301
Mailing address
9405 Highway 17 Byp
Murrells Inlet, SC 29576-9301
Phone (843) 650-2213
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 |
|---|---|---|---|
| 4859 | SC | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734739200000",
"number": "1942018031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9405 HIGHWAY 17 BYP",
"city": "MURRELLS INLET",
"state": "SC",
"postal_code": "295769301",
"telephone_number": "843-650-2213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9405 HIGHWAY 17 BYP",
"city": "MURRELLS INLET",
"state": "SC",
"postal_code": "295769301",
"telephone_number": "843-650-2213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAUDER",
"first_name": "KELLY",
"credential": "COTA/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-21",
"last_updated": "2024-12-21",
"certification_date": "2024-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "SC",
"license": "4859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murrells Inlet, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.