Individual provider Active NPI

Sarah Elaine Ellis, OTR/L

  • Occupational Therapist
  • Mount Pleasant, SC
National Provider Identifier
1568950517
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5171 Issued in SC
Practice address
1051 Johnnie Dodds Blvd Ste G
Mount Pleasant, SC 29464-3100
Phone
(423) 388-5198
NPI assigned
Apr 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 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 5171 SC Primary

Addresses

Primary practice location

1051 Johnnie Dodds Blvd Ste G
Mount Pleasant, SC 29464-3100

Mailing address

142 Sportsman Island Dr Ste E
Charleston, SC 29492-8524
Phone (423) 637-2920

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
5171SCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Holy City Pediatric Therapy LLC Occupational Therapist CurrentSince Mar 20, 2025 Accepting new patients

Locations

142 Sportsman Island Dr
Ste E
Daniel Island, SC 29492
Phone (843) 696-2174

1051 Johnnie Dodds Blvd
Ste G
Mt Pleasant, SC 29464
Phone (843) 654-9694

Organizations & group practices 1

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": "1524614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1568950517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 SPORTSMAN ISLAND DR STE E",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294928524",
            "telephone_number": "423-637-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 JOHNNIE DODDS BLVD STE G",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643100",
            "telephone_number": "423-388-5198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "SARAH",
        "middle_name": "ELAINE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-25",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "5171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.