KATELYN DEANNA SURPRENANT OTR
NPI 1639755036
Occupational Therapist in Charleston, SC

Active since March 24, 2021
1563 SAM RITTENBERG BLVD, CHARLESTON, SC 29407(843) 722-2411 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 4, 2025, Aug 7, 2025, Jun 25, 2025 and 1 more (4 updates tracked since 2021).

About Katelyn Deanna Surprenant Otr NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATELYN DEANNA SURPRENANT OTR (NPI 1639755036) is an individual occupational therapist in Charleston, South Carolina, licensed in South Carolina (7597) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1639755036
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameKATELYN DEANNA SURPRENANTCredential: OTR
Location Address1563 SAM RITTENBERG BLVDCharleston, SC 29407-4248
Mailing Address1563 Sam Rittenberg BlvdCharleston, SC 29407-4248 · (843) 722-2411
Sole ProprietorYes
Enumeration DateMarch 24, 2021
Last NPPES UpdateSeptember 4, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2025
✔ NPI 1639755036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
Licenses✔ Licensed in SC · 7597✔ Licensed in MA · 13893
Definition
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.
1563 SAM RITTENBERG BLVD, Charleston, SC 29407

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katelyn Deanna Surprenant Otr is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Katelyn Surprenant reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Same address
Occupational Therapist
1563 SAM RITTENBERG BLVD
Charleston, SC 29407
  • Reassigned Medicare billing, South Carolina enrollment
  • 10 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
1563 SAM RITTENBERG BLVD
CHARLESTON, SC 29407
Occupational Therapy Assistant
1563 SAM RITTENBERG BLVD
CHARLESTON, SC 29407
Occupational Therapy Assistant
1563 SAM RITTENBERG BLVD
CHARLESTON, SC 29407
Occupational Therapy Assistant
1563 SAM RITTENBERG BLVD
CHARLESTON, SC 29407
Occupational Therapy Assistant
1563 SAM RITTENBERG BLVD
CHARLESTON, SC 29407
Specialist/Technologist (Speech-Language Assistant)
1563 SAM RITTENBERG BLVD
CHARLESTON, SC 29407
Occupational Therapist
1563 SAM RITTENBERG BLVD
CHARLESTON, SC 29407
Occupational Therapist
1563 SAM RITTENBERG BLVD
CHARLESTON, SC 29407

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katelyn Surprenant's NPI number?

The NPI number for Katelyn Surprenant is 1639755036. It was assigned to this individual provider in the NPPES registry on March 24, 2021.

Where is Katelyn Surprenant located?

Katelyn Surprenant practices at 1563 Sam Rittenberg Blvd, Charleston, SC 29407. The listed phone number is (843) 722-2411.

What is Katelyn Surprenant's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Katelyn Surprenant enrolled in Medicare?

Yes. Katelyn Surprenant is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Katelyn Surprenant's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katelyn Surprenant reassigns Medicare benefits to Charleston Ot LLC (Charleston, SC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katelyn Surprenant's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katelyn Surprenant accept?

Health plans from Anthem Blue Cross and Blue Shield list Katelyn Surprenant as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Katelyn Surprenant was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.