Korie Kisamore, COTA
Occupational Therapy Assistant in Fort Mill, SC. Individual provider (NPI-1).
NPI number1750194619
StatusActive
Last updated in NPPESJan 27, 2025
Details
- NPI
- 1750194619
- Entity type
- Individual (NPI-1)
- Name
- Korie Kisamore
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 27, 2025
- Certification date
- Jan 27, 2025
- Last updated
- Jan 27, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | 17342 | NC | Yes |
Practice location
1698 Highway 160 W Ste 240Fort Mill, SC 29708-8035
Phone 704-654-8599 · Fax 980-938-6088
Mailing address
1698 Highway 160 W Ste 240Fort Mill, SC 29708-8035
Phone 704-654-8599 · Fax 980-938-6088
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Occupational Therapy Assistant providers in Fort Mill, SC
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- Michelle Elaine Sember, COTA/LNPI 1346575404
- Jessica Renee TorresNPI 1316648645
All 8 Occupational Therapy Assistant providers in Fort Mill · All 1,429 providers in Fort Mill
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