AMBER MEDLOCK (NPI# 1306401716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306401716 |
| Entity Type | Individual |
| Full Name | AMBER MEDLOCK |
| Credential | OTR/L |
| Practice Address |
200 Wellmore Dr Lexington SC 29072-9172 |
| Mailing Address |
37 Groover Cir Cayce SC 29033-1740 |
| Practice Telephone | 8035201200 |
| Mailing Telephone | 8438611367 |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2019-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 5539 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
200 WELLMORE DR |
| City | LEXINGTON |
| State | SC |
| Zip Code | 29072-9172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538298831 | Carolyn A Lawrence Ross | Speech-Language Pathologist | 200 Wellmore Dr, Lexington, SC 29072-9157 | 2007-03-04 |
| 1043825300 | Erin Elizabeth Moore | Physical Therapist | 200 Wellmore Dr, Lexington, SC 29072-9172 | 2020-09-14 |
| 1750853701 | Mary Elizabeth Robinson Newton | Physical Therapist | 200 Wellmore Dr, Lexington, SC 29072-9172 | 2018-12-31 |
| 1679088439 | Melanie Lira Pacheco | Speech-Language Pathologist | 200 Wellmore Dr, Lexington, SC 29072-9172 | 2017-12-02 |
| 1386166544 | Hannah Fabris | Physical Therapy Assistant | 200 Wellmore Dr, Lexington, SC 29072-9157 | 2017-07-10 |
| 1477075638 | Crystal Rae Caldwell | Occupational Therapy Assistant | 200 Wellmore Dr, Lexington, SC 29072-9157 | 2017-07-10 |
| 1962892786 | Charles R Kolb Jr. | Occupational Therapist | 200 Wellmore Dr, Lexington, SC 29072-9172 | 2015-02-01 |
| 1104221498 | Carolyn Dejoseph | Occupational Therapist | 200 Wellmore Dr, Lexington, SC 29072-9172 | 2014-10-29 |
| 1720420672 | Brianne Siciliano | Speech-Language Pathologist | 200 Wellmore Dr, Lexington, SC 29072-9157 | 2013-07-20 |
| 1720421936 | Sylvia Ashford Jones | Physical Therapist | 200 Wellmore Dr, Lexington, SC 29072-9157 | 2013-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700484821 | Grace Physicians Services | Clinic/Center | 1483 Old Cherokee Road, Lexington, SC 29072 | 2020-10-12 |
| 1750995007 | Trinity Health and Wellness | Clinic/Center | 1483 Old Cherokee Rd, Lexington, SC 29072 | 2020-09-03 |
| 1730727629 | Erika Watts | Occupational Therapist | 100 Tarrar Springs Road, Sped, Lexington, SC 29072 | 2019-12-11 |
| 1194380600 | Lexington County Health Services District, Inc. | Clinic/Center | 154 Saluda Pointe Ct, Lexington, SC 29072 | 2019-05-09 |
| 1962973768 | William R. Key | Counselor | Lexington Community Mental Health Center, 301 Palmetto Park Boulevard, Lexington, SC 29072 | 2018-12-06 |
| 1639651961 | Lindsey Terry | Social Worker | 108 Palmetto Pk. Boulveard, Suite D, Lexington, SC 29072 | 2018-09-04 |
| 1922594126 | Dental Professional of South Carolina, P.C. | Dentist | 2448 Augusta Hwy, Lexington, SC 29072 | 2018-07-11 |
| 1598251605 | Lynn Marceline Beckett-lowe | Nurse Practitioner | 124 Pink Camellia Lane, Lexington, SC 29072 | 2018-07-02 |
| 1083120620 | Diana Reiss | Counselor | 714 S Lake Drive, 120, Lexington, SC 29072 | 2017-12-19 |
| 1649781857 | Constance Jean Lynch | Occupational Therapist | 800 North Lake Boulevard, Lexington, SC 29072 | 2017-10-14 |
| Find all providers in zip 29072 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508475500 | Tammy Hicks | Occupational Therapist | 701 Liberty Ridge Ln, Lexington, KY 40509-4564 | 2020-07-26 |
| 1437776895 | Lauren Michelle Chapman | Occupational Therapist | 1456 Meadowthorpe Ave Apt 2, Lexington, KY 40511-2069 | 2020-07-01 |
| 1871127910 | Marypoppins LLC | Occupational Therapist | 2384 Ice House Way, Lexington, KY 40509-8638 | 2020-02-27 |
| 1861023871 | Alicia Mitchell | Occupational Therapist | 3310 Tates Creek Rd, Lexington, KY 40502-3487 | 2020-01-29 |
| 1730727629 | Erika Watts | Occupational Therapist | 100 Tarrar Springs Road, Sped, Lexington, SC 29072 | 2019-12-11 |
| 1114561131 | Jonathan Reynolds | Occupational Therapist | 1809 Meeting St Apt 6210, Lexington, KY 40509-4592 | 2019-11-01 |
| 1548804743 | Lucas Kyle Brothers | Occupational Therapist | 401 Lewis Hargett Cir #120, Lexington, KY 40503 | 2019-10-30 |
| 1174088322 | Emily Ann Farley | Occupational Therapist | 7343 Sunset Blvd, Lexington, MI 48450-9731 | 2019-02-01 |
| 1629548219 | Leah Morgan Adekoya | Occupational Therapist | 1300 East New Circle Road Suite 150, Lexington, KY 40505 | 2018-11-27 |
| 1952870503 | Ronda Bryant Franck | Occupational Therapist | 2659 Regency Rd Ste 110, Lexington, KY 40503-2922 | 2018-11-13 |
| Find all providers in LEXINGTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.