Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Q: What is Holy City Pediatric Therapy LLC's NPI number?

The NPI number for Holy City Pediatric Therapy LLC is 1639568231. It was assigned to this organization in the NPPES registry on January 20, 2015. The provider is doing business as Holy City Pediatric Therapy, LLC.

Q: What is Holy City Pediatric Therapy LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since January 20, 2015

142 SPORTSMAN ISLAND DR STE E, DANIEL ISLAND, SC 29492(423) 388-8311 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 24, 2026, Feb 22, 2023, Nov 19, 2021 and 1 more (4 updates tracked since 2021).

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About Holy City Pediatric Therapy Llc NPPES

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

HOLY CITY PEDIATRIC THERAPY LLC (NPI 1639568231), doing business as Holy City Pediatric Therapy, Llc, is a healthcare organization registered as a clinic/center in Daniel Island, South Carolina and active in the NPI registry since January 2015. The organization maintains a secondary practice location in Charleston and lists Kellye Tolley, Occupational Therapist, as its authorized official.

NPPES Registry Identity

NPI1639568231

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameHOLY CITY PEDIATRIC THERAPY LLC

Location Address142 SPORTSMAN ISLAND DR STE EDaniel Island, SC 29492-8524

Mailing Address2030 Wambaw Creek Rd Ste 200Charleston, SC 29492-8382 · (843) 708-9138 · Fax (888) 659-8008

Phone(423) 388-8311

Organization SubpartNo

Authorized OfficialKellye TolleyOccupational Therapist · (423) 388-5198

Enumeration DateJanuary 20, 2015

Last NPPES UpdateAugust 24, 20264 updates tracked since enumeration

NPPES CertifiedAugust 24, 2026

✔ NPI 1639568231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

License✔ Licensed in SC · 3907

Definition

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).

Also ListedPhysical Therapist · PediatricsTaxonomy 2251P0200X

Also ListedOccupational TherapistTaxonomy 225X00000X

Also ListedSpeech-Language PathologistTaxonomy 235Z00000X

142 SPORTSMAN ISLAND DR STE E, Daniel Island, SC 29492

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Other Names 1

Doing Business AsHoly City Pediatric Therapy, Llc

Secondary Practice Location 1

Location 12030 Wambaw Creek Rd Ste 200Charleston, SC 29492-8382 · Phone (843) 708-9138 · Fax (888) 659-8008

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.Insurance ›

Other Providers at the Same Location NPPES 8

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

CYNTHIA ANNE HUND

Physical Therapist