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

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: February 22, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 22, 2023, Nov 19, 2021, Aug 5, 2021 (3 updates tracked since 2021).

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) 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 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 Address142 Sportsman Island Dr Ste ECharleston, SC 29492-8524 · (843) 708-9138
Phone(423) 388-8311
Organization SubpartNo
Authorized OfficialKellye TolleyOccupational Therapist · (423) 388-5198
Enumeration DateJanuary 20, 2015
Last NPPES UpdateFebruary 22, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2023
✔ 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
Open in Google Maps ↗

Other Names 1

Doing Business AsHoly City Pediatric Therapy, Llc

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
142 SPORTSMAN ISLAND DR STE E
CHARLESTON, SC 29492
Berkeley County (843) 696-2174
MRS. ANN MARIE COLLINS OTR/L
Occupational Therapist (Pediatrics)
142 SPORTSMAN ISLAND DR STE E
CHARLESTON, SC 29492
Berkeley County (904) 295-9253
DR. ANNE BARNWELL JENKINS PT, DPT
Physical Therapist (Pediatrics)
142 SPORTSMAN ISLAND DR STE E
CHARLESTON, SC 29492
Berkeley County (843) 696-2174
AMANDA FOSTER MEEHAN
Speech-Language Pathologist
142 SPORTSMAN ISLAND DR STE E
CHARLESTON, SC 29492
Berkeley County (513) 283-7345
ELIZABETH MCINNIS CLARK
Physical Therapist
142 SPORTSMAN ISLAND DR STE E
CHARLESTON, SC 29492
Berkeley County (803) 696-2174
EMMIE CULCLASURE VAN LAAN MSP, CCC-SLP
Speech-Language Pathologist
142 SPORTSMAN ISLAND DR STE E
CHARLESTON, SC 29492
Berkeley County (478) 954-6167
CHLOE ELIZABETH KOOY PT, DPT
Physical Therapist
142 SPORTSMAN ISLAND DR STE E
CHARLESTON, SC 29492
Berkeley County (843) 696-2174
KRISTEN HUBBARD LANE PT
Physical Therapist (Pediatrics)
142 SPORTSMAN ISLAND DR STE E
CHARLESTON, SC 29492
Berkeley County (843) 696-2174

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Holy City Pediatric Therapy LLC located?

Holy City Pediatric Therapy LLC is located at 142 Sportsman Island Dr Ste E, Daniel Island, SC 29492. The listed phone number is (423) 388-8311.

What is Holy City Pediatric Therapy LLC's specialty?

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

What insurance does Holy City Pediatric Therapy LLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare list Holy City Pediatric Therapy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Holy City Pediatric Therapy LLC was last updated on February 22, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.