| Kayla Elizabeth Gardner, OTR/L | |
|
148 Sauls St Ste B, Lake City, SC 29560-2677 | |
| (843) 374-0185 | |
| (843) 374-0189 |
| Full Name | Kayla Elizabeth Gardner |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist In Private Practice |
| Experience | 6 Years |
| Location | 148 Sauls St Ste B, Lake City, South Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508496548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 6267 (South Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Elite Hand And Upper Extremity Therapy | 3678904620 | 3 |
| Provider Name | Pro-motion Physical Therapy Of Florence Sc Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1821474115 PECOS PAC ID: 8820307580 Enrollment ID: O20151103002310 |
| Provider Name | Elite Hand And Upper Extremity Therapy |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1467086926 PECOS PAC ID: 3678904620 Enrollment ID: O20200529002614 |
| Mailing Address | Practice Location Address |
|---|---|
| Kayla Elizabeth Gardner, OTR/L Po Box 6526, Columbia, SC 29260-6526 Ph: (803) 693-5040 | Kayla Elizabeth Gardner, OTR/L 148 Sauls St Ste B, Lake City, SC 29560-2677 Ph: (843) 374-0185 |
Mr. Phillip Roy Boyer, MOTL/R Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 56 Genesis Dr, Lake City, SC 29560 Phone: 843-389-3685 | |
Ms. Maud N Mmbo-keith, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 148 Sauls St, Ste B, Lake City, SC 29560 Phone: 843-374-0185 Fax: 843-374-0189 | |
Hazel Shipman, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 318 B Moore Street, Lake City, SC 29560 Phone: 843-394-9799 Fax: 843-394-9899 | |
Stephaney Smith-rose, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 930 S Ron Mcnair Blvd Ste B, Lake City, SC 29560 Phone: 843-210-3082 Fax: 843-210-3051 | |
Mrs. Valeriya Torosian, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 318 E Main St, Lake City, SC 29560 Phone: 843-374-2221 | |
Dina J Caldwell, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 258 N Ron Mcnair Blvd, Lake City, SC 29560 Phone: 843-374-6198 Fax: 843-974-6180 |