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

Individual provider Occupational Therapist · NPI 1639755036

Katelyn Deanna Surprenant, OTR is an Occupational Therapist in Private Practice in Charleston, South Carolina. Qualified in 2020, 6 years ago. Practices as a sole proprietor. Licensed in Massachusetts and South Carolina.

Years since qualifying
6
Licensed in
MA, SC
In the registry since
2021
Specialties on file
2
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

1563 Sam Rittenberg Blvd
Charleston, SC 29407-4248
Phone: (843) 722-2411
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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 7597 (SC)
Occupational Therapist Taxonomy 225X00000X · Licence 13893 (MA)

Record details

NPI number1639755036
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorYes
NPI enumeratedMarch 24, 2021
Last updated in NPPESSeptember 4, 2025
Certification dateSeptember 4, 2025

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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