Individual provider Active NPI

Allison Elliott

  • Occupational Therapist
  • Charleston, SC
National Provider Identifier
1467057547
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
6503 Issued in SC
Practice address
1563 Sam Rittenberg Blvd
Charleston, SC 29407-4248
Phone
(843) 277-2411
Fax
(855) 504-4089
NPI assigned
Dec 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 6503 SC Primary

Addresses

Primary practice location

1563 Sam Rittenberg Blvd
Charleston, SC 29407-4248

Mailing address

107 Hanover St Apt B
Charleston, SC 29403-1901

Other identifiers 1

IdentifierTypeStateIssuer
TH4951MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221109002207 SC Practitioner - Occupational Therapist in Private Practice 3577930254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charleston OT LLCGroup PAC ID 7911327267, 6 clinicians

Practice addresses (Care Compare)

1563 Sam Rittenberg Blvd
Charleston, SC 29407-4248
Phone (843) 277-2411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6503SCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston OT LLC Occupational Therapist CurrentSince Oct 9, 2022 Accepting new patients
Charleston St LLC CurrentSince Nov 24, 2025 Accepting new patients

Locations

1563 Sam Rittenbrg Blvd
Charleston, SC 29407
Phone (843) 277-2411

6336 Highway 162
#B
Hollywood, SC 29449
Phone (843) 277-2411

3464 Maybank Hwy
Unit C
Johns Island, SC 29455
Phone (301) 801-7867

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1467057547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 HANOVER ST APT B",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294031901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1563 SAM RITTENBERG BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074248",
            "telephone_number": "843-277-2411",
            "fax_number": "855-504-4089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "ALLISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-04",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "6503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TH4951",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.