Kelly Grayburn (NPI# 1144632803, PAC ID# 4183843311) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OCCUPATIONAL THERAPY.
| Nation Provider ID (NPI) | 1144632803 |
| PAC ID by PECOS | 4183843311 |
| Professional Enrollment ID | I20140919000940 |
| Full Name | Kelly Grayburn |
| Organization Legal Name | VITAL ENERGY OCC THERAPY AND WELLNESS CTR LLC |
| Address |
163 Charter Oak Rd Lexington SC 29072-9246 |
| Phone Number | 8033591551 |
| Gender | F |
| Medical School | EAST CAROLINA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | OCCUPATIONAL THERAPY |
| Group Practice PAC ID | 0648315598 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 163 Charter Oak Rd, Lexington, SC 29072-9246 | 8033591551 | VITAL ENERGY OCC THERAPY AND WELLNESS CTR LLC |
| Organization Legal Name | VITAL ENERGY OCC THERAPY AND WELLNESS CTR LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sherman L Roberts Jr. | Physical Therapy | Vital Energy Occ Therapy and Wellness Ctr LLC | 163 Charter Oak Rd, Lexington, SC 29072-9246 |
| Shannon M Hicks | Physical Therapy | Vital Energy Occ Therapy and Wellness Ctr LLC | 163 Charter Oak Rd, Lexington, SC 29072-9246 |
| Hima Nikunj Dalal | Occupational Therapy | Vital Energy Occ Therapy and Wellness Ctr LLC | 163 Charter Oak Rd, Lexington, SC 29072-9246 |
| Street Address |
163 CHARTER OAK RD |
| City | LEXINGTON |
| State | SC |
| Zip | 29072-9246 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sherman L Roberts Jr. | Physical Therapy | Vital Energy Occ Therapy and Wellness Ctr LLC | 163 Charter Oak Rd, Lexington, SC 29072-9246 |
| Shannon M Hicks | Physical Therapy | Vital Energy Occ Therapy and Wellness Ctr LLC | 163 Charter Oak Rd, Lexington, SC 29072-9246 |
| Hima Nikunj Dalal | Occupational Therapy | Vital Energy Occ Therapy and Wellness Ctr LLC | 163 Charter Oak Rd, Lexington, SC 29072-9246 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Isaac E Davis Iii | Maxillofacial Surgery | Associates In Oral and Maxillofacial Surgery, Pa | 109 Reed Ave, Lexington, SC 29072-2016 |
| Edward Mccray Wise Jr. | Maxillofacial Surgery | Associates In Oral and Maxillofacial Surgery, Pa | 109 Reed Ave, Lexington, SC 29072-2016 |
| Charles M Miyaji | Oral Surgery | Associates In Oral and Maxillofacial Surgery, Pa | 109 Reed Ave, Lexington, SC 29072-2016 |
| Vanessa Epps Byrd | Physical Therapy | The Weston Group of South Carolina Inc | 218 Old Chapin Rd, Lexington, SC 29072-2030 |
| Kristen M Carlson | Physical Therapy | The Weston Group of South Carolina Inc | 218 Old Chapin Rd, Lexington, SC 29072-2030 |
| John S Rodell | Physical Therapy | Paxxon Healthcare Services LLC | 218 Old Chapin Rd, Lexington, SC 29072-2030 |
| Derranita Essonya Finklin | Occupational Therapy | The Weston Group of South Carolina Inc | 218 Old Chapin Rd, Lexington, SC 29072-2030 |
| Chelsea Hamric | Physical Therapy | Paxxon Healthcare Services LLC | 218 Old Chapin Rd, Lexington, SC 29072-2030 |
| Catherine Jane Rathbun | Occupational Therapy | The Weston Group of South Carolina Inc | 218 Old Chapin Rd, Lexington, SC 29072-2030 |
| Ellen Little | Physical Therapy | The Weston Group of South Carolina Inc | 218 Old Chapin Rd, Lexington, SC 29072-2030 |
| Find all physicians in zip 29072 | |||
| City | LEXINGTON |
| Zip Code | 29072 |
| Specialty | OCCUPATIONAL THERAPY |
| City + Specialty | LEXINGTON + OCCUPATIONAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.