Active NPI
Sarah Elaine Ellis, OTR/L
- Occupational Therapist
- Mount Pleasant, SC
National Provider Identifier
1568950517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5171
- 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
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 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
| License | State | Type | Specialty |
|---|---|---|---|
| 5171 | SC | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holy City Pediatric Therapy LLC | Occupational Therapist | Current | 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.
-
- Clinic/Center
- Daniel Island, SC
- NPI 1639568231
Occupational Therapist
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
- Elite Health Solutions LLC
- Elite Healthcare Physical Medicine, LLC
- Elizabeth C. Grueneberger (Tidehaven Health)
- Elizabeth Dunlap Speech and Stuttering Therapy, LLC
- Elizabeth J. Bjornson, DDS, MHS, PA
- Embrace Hospice of the Low Country, LLC
- Brian Emerson
- Stephanie Emerson, MSP, CCC-SLP
- Naresh P Emmanuel, MD
- Lauren Emmolo, LPC, NCC
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.