Active NPI
Paisley Polk Elliott, OT
- Occupational Therapist
- Shelby, NC
National Provider Identifier
1548523368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3578
- Practice address
- 400 W Marion St
Shelby, NC 28150-5338 - Phone
- (704) 476-8000
- NPI assigned
- Jun 18, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 9564 | NC | |
| Occupational Therapist | 225X00000X | 3578 | SC | Primary |
Addresses
Primary practice location
400 W Marion St
Shelby, NC 28150-5338
Mailing address
400 W Marion St
Shelby, NC 28150-5338
Phone (704) 476-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3578 | Other | SC | SC LICENSE |
Other names 1
- Miss Paisley Polk
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9564 | NC | MD | Occupational Therapist |
| 3578 | SC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ats Kids LLC | Occupational Therapist | Past | Accepting new patients |
| Advanced Therapy Solutions, Inc. | Occupational Therapist | Past | Accepting new patients |
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.
-
- Physical Therapist
- Spartanburg, SC
- NPI 1235197914
Occupational Therapist
-
- Occupational Therapist
- Spartanburg, SC
- NPI 1053204198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777420800000",
"number": "1548523368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 W MARION ST",
"city": "SHELBY",
"state": "NC",
"postal_code": "281505338",
"telephone_number": "704-476-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W MARION ST",
"city": "SHELBY",
"state": "NC",
"postal_code": "281505338",
"telephone_number": "704-476-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIOTT",
"first_name": "PAISLEY",
"middle_name": "POLK",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-18",
"last_updated": "2026-04-29",
"certification_date": "2026-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "9564",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "3578",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SC LICENSE",
"identifier": "3578",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PAISLEY",
"last_name": "POLK",
"prefix": "MISS",
"credential": "OT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Shelby, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.