Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrea Tivoli, OTR/L

Individual provider Occupational Therapist · NPI 1700611761

Andrea Tivoli, OTR/L is an Occupational Therapist in Private Practice in Lancaster, South Carolina. Qualified in 2022, 4 years ago. Practices with Legacy Healthcare Services Inc, a 3,624-clinician group and accepts Medicare assignment. Licensed in North Carolina and South Carolina.

Years since qualifying
4
Licensed in
NC, SC
In the registry since
2024
Specialties on file
2
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

87462 Edsen Ct
Lancaster, SC 29720-6433
Phone: (910) 263-6139
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 15809 (NC)
Occupational Therapist Taxonomy 225X00000X · Licence 6779 (SC)

Record details

NPI number1700611761
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedSeptember 7, 2024
Last updated in NPPESNovember 3, 2024
Certification dateOctober 28, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Legacy Healthcare Services Inc — 3624 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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