Active NPI
Elsa Solomon, COTA
- Occupational Therapy Assistant
- West Columbia, SC
National Provider Identifier
1376321182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 4974
- Practice address
- Heritage Pro
1 Still Hope Drive
West Columbia, SC 29169 - Phone
- (803) 796-6490
- NPI assigned
- Sep 21, 2023
- Last updated
- Sep 21, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 4974 | SC | Primary |
Addresses
Primary practice location
Heritage Pro
1 Still Hope Drive
West Columbia, SC 29169
Mailing address
1406 Knob Hill Cir
Evans, GA 30809-6678
Phone (706) 564-5046
Other practice location 1
1406 Knob Hill Cir
Evans, GA 30809-6678
Phone (706) 564-5046
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4974 | SC | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695254400000",
"number": "1376321182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1406 KNOB HILL CIR",
"city": "EVANS",
"state": "GA",
"postal_code": "308096678",
"telephone_number": "706-564-5046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HERITAGE PRO",
"address_2": "1 STILL HOPE DRIVE",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "29169",
"telephone_number": "803-796-6490"
}
],
"practiceLocations": [
{
"address_1": "1406 Knob Hill Cir",
"address_purpose": "LOCATION",
"city": "Evans",
"state": "GA",
"postal_code": "308096678",
"country_code": "US",
"telephone_number": "706-564-5046",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOLOMON",
"first_name": "ELSA",
"name_prefix": "Mrs.",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-21",
"last_updated": "2023-09-21",
"certification_date": "2023-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "SC",
"license": "4974",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Columbia, SC
- William Carlos Smith Jr., D.M.D.
- William Zachary Smith, DPT
- Mary Frances Snipes, MSN, AGACNP-BC
- Matthew James Snyder, DO
- Liuba Soldatova, M.D.
- Latoya Denise Solomon, APRN
- South Carolina Autism Society
- South Carolina CVS Pharmacy LLC (CVS Pharmacy #07556)
- South Carolina CVS Pharmacy LLC (CVS Pharmacy #07338)
- South Carolina Endoscopy Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.