Healthcare Provider Details

I. General information

NPI: 1780599670
Provider Name (Legal Business Name): GOT OT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2593 N ROCKY RIVER RD
LANCASTER SC
29720-6038
US

IV. Provider business mailing address

2593 N ROCKY RIVER RD
LANCASTER SC
29720-6038
US

V. Phone/Fax

Practice location:
  • Phone: 704-641-2146
  • Fax: 888-883-6402
Mailing address:
  • Phone: 704-641-2146
  • Fax: 888-883-6402

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MRS. KASIE SANDERFER TRIVETT
Title or Position: CO-OWNER & CLINICAL DIRECTOR
Credential: OTR/L
Phone: 704-641-2146