Individual provider Active NPI

Amy Nicole Elgin, MSOL, OTR/L, BCP

  • Occupational Therapist
  • Ladson, SC
National Provider Identifier
1508009937
Registry record updated Sep 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
4512 Issued in SC
Practice address
9565 Highway 78 BLDG 700
Ste. 102
Ladson, SC 29456-4116
Phone
(843) 314-5434
Fax
(843) 277-6237
NPI assigned
Apr 15, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 4512 SC Primary
Occupational Therapist 225X00000X OC005725L PA

Addresses

Primary practice location

9565 Highway 78 BLDG 700
Ste. 102
Ladson, SC 29456-4116

Mailing address

930 Folly Rd
Ste. B
Charleston, SC 29412-3938
Phone (843) 314-5434

Other identifiers 1

IdentifierTypeStateIssuer
TH2945MedicaidSC

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

LicenseStateTypeSpecialty
OC005725LPAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Hearing Care Center, LLC Occupational Therapist CurrentSince Apr 6, 2021 Accepting new patients
Laurel Medical Supplies, Inc. Past Accepting new patients
Camco Physical & Occupational Therapy LLC Occupational Therapist Past Accepting new patients
Hears 2 You LLC PastSince Jan 19, 2025 Accepting new patients
Tri-County Therapy, LLC Occupational Therapist Past Accepting new patients

Locations

9730 Dorchester Rd
Unit 206
Summerville, SC 29485
Phone (843) 364-6361

Organizations & group practices 5

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": "1239753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441756800000",
    "number": "1508009937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 FOLLY RD",
            "address_2": "STE. B",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294123938",
            "telephone_number": "843-314-5434",
            "fax_number": "843-277-6237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9565 HIGHWAY 78 BLDG 700",
            "address_2": "STE. 102",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "294564116",
            "telephone_number": "843-314-5434",
            "fax_number": "843-277-6237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELGIN",
        "first_name": "AMY",
        "middle_name": "NICOLE",
        "credential": "MSOL, OTR/L, BCP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-15",
        "last_updated": "2015-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "4512",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC005725L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TH2945",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ladson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.