HOLY CITY PEDIATRIC THERAPY, LLC
NPI 1639568231
Clinic/Center in Daniel Island, SC

NPI Status: Active since January 20, 2015

Contact Information

142 SPORTSMAN ISLAND DR STE E
DANIEL ISLAND, SC
ZIP 29492
Phone: (423) 388-8311

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  • Organization
  • Clinic/Center
  • Accepts Insurance

About HOLY CITY PEDIATRIC THERAPY, LLC

This page provides the complete NPI Profile along with additional information for Holy City Pediatric Therapy, Llc, a provider established in Daniel Island, South Carolina operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1639568231 assigned on January 2015. The practitioner's primary taxonomy code is 261Q00000X with license number 3907 (SC). The provider is registered as an organization and their NPI record was last updated 3 years ago. Holy City Pediatric Therapy, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Holy City Pediatric Therapy, Llc. The authorized official of this NPI record is Kellye Tolley Otr/l (Occupational Therapist)

NPI
1639568231
Provider Legal Name
HOLY CITY PEDIATRIC THERAPY LLC
Other Organization Name
HOLY CITY PEDIATRIC THERAPY, LLC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
142 SPORTSMAN ISLAND DR STE E DANIEL ISLAND, SC 29492
Location Phone
(423) 388-8311
Mailing Address
142 SPORTSMAN ISLAND DR STE E CHARLESTON, SC 29492
Mailing Phone
(843) 708-9138
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-20-2015
Last Update Date
02-22-2023
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License No.
3907
License State
SC
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Physical Therapist
Pediatrics

 
2225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Occupational Therapist

 
3235Z00000XSpeech, Language and Hearing Service Providers

Speech-Language Pathologist

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Standard Expanded Bronze - HMO
  • Standard Gold - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clear Silver with $0 Insulin Options - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Gold with Atrium Health - HMO
  • Complete Gold with Atrium Health + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Bronze with Atrium Health - HMO
  • Elite Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options - HMO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze with Atrium Health - HMO
  • Everyday Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Focused Silver with Atrium Health - HMO
  • Focused Silver with Atrium Health + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze with Atrium Health - HMO
  • Blue Congaree Bronze 1 - HMO
  • Blue Congaree Bronze 2 - HMO
  • Blue Congaree Gold 1 - HMO
  • Blue Congaree Silver 1 - HMO
  • Blue Congaree Silver 2 - HMO
  • Blue Congaree Silver 2 + Adult Vision - HMO
  • Blue Congaree Standard Expanded Bronze - HMO
  • Blue Congaree Standard Gold - HMO
  • Blue Congaree Standard Silver - HMO
  • Blue Cooper Bronze 1 - HMO
  • Blue Cooper Bronze 2 - HMO
  • Blue Cooper Gold 1 - HMO
  • Blue Cooper Silver 1 - HMO
  • Blue Cooper Silver 2 - HMO
  • Blue Cooper Silver 2 + Adult Vision - HMO
  • Blue Cooper Standard Expanded Bronze - HMO
  • Blue Cooper Standard Gold - HMO
  • Blue Cooper Standard Silver - HMO
  • Blue Direction Bronze 1 - POS
  • Blue Direction Silver 1 - POS
  • First Choice Next Bronze Essential - HMO
  • First Choice Next Bronze Premier - HMO
  • First Choice Next Bronze Signature - HMO
  • First Choice Next Gold Premier - HMO
  • First Choice Next Gold Signature - HMO
  • First Choice Next Silver Essential - HMO
  • First Choice Next Silver Premier - HMO
  • First Choice Next Silver Signature - HMO
  • Molina Gold Core 1640 - HMO
  • Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
  • Molina Gold Core 1640 Plus with Adult Vision - HMO
  • Molina Gold Standard - HMO
  • Molina Gold Value - HMO
  • Molina Gold Value Plus with Adult Dental and Vision - HMO
  • Molina Gold Value Plus with Adult Vision - HMO
  • Molina Silver Core - HMO
  • Molina Silver Core Plus with Adult Dental and Vision - HMO
  • Molina Silver Core Plus with Adult Vision - HMO
  • Molina Silver Saver - HMO
  • Molina Silver Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KELLYE TOLLEY OTR/L

Authorized Official Title
OCCUPATIONAL THERAPIST
Authorized Official Phone
(423) 388-5198

Reviews for HOLY CITY PEDIATRIC THERAPY, LLC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1639568231, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
3
Doubled → 6
Pos 4
9
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
6
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
2
Unchanged
Pos 9
3
Doubled → 6
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 5 → 10 → 1 8 → 16 → 7 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 6 + 9 + 1 + 0 + 6 + 1 + 6 + 2 + 6 + 24 = 69

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1639568231.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Occupational Therapist (Pediatrics)
142 SPORTSMAN ISLAND DR STE E
CHARLESTON, SC 29492
Physical Therapist (Pediatrics)
142 SPORTSMAN ISLAND DR STE E
CHARLESTON, SC 29492
Speech-Language Pathologist
142 SPORTSMAN ISLAND DR STE E
CHARLESTON, SC 29492
Physical Therapist (Pediatrics)
142 SPORTSMAN ISLAND DR STE E
CHARLESTON, SC 29492
Physical Therapist
142 SPORTSMAN ISLAND DR STE E
CHARLESTON, SC 29492

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639568231, enumerated as an "organization" on January 20, 2015.

The provider is located at 142 SPORTSMAN ISLAND DR STE E DANIEL ISLAND, SC 29492 and the phone number is (423) 388-8311.

Clinic/Center with taxonomy code 261Q00000X.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.