Individual provider Active NPI

Nicole Sawyer Ramsey, OTR/L

  • Occupational Therapist
  • Charleston, SC
National Provider Identifier
1649691395
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
4269 Issued in SC
Practice address
1563 Sam Rittenberg Blvd
Charleston, SC 29407-4248
Phone
(843) 277-2411
Fax
(855) 504-4089
NPI assigned
Dec 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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
Occupational Therapist 225X00000X 4269 SC Primary

Addresses

Primary practice location

1563 Sam Rittenberg Blvd
Charleston, SC 29407-4248

Mailing address

614 Wateree Dr
Charleston, SC 29407-6635
Phone (774) 721-6252

Other identifiers 1

IdentifierTypeStateIssuer
TH2822MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201026002938 SC Practitioner - Occupational Therapist in Private Practice 2062832314 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2009
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

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston OT LLC Occupational Therapist CurrentSince May 28, 2016 Accepting new patients
Charleston St LLC CurrentSince Dec 15, 2024 Accepting new patients
Elite Performance Concepts, LLC CurrentSince Sep 12, 2021 Accepting new patients

Locations

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

1640 Ashley Hall Rd
Charleston, SC 29407
Phone (774) 721-6252

Organizations & group practices 3

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": "1388016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1649691395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 WATEREE DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294076635",
            "telephone_number": "774-721-6252",
            "fax_number": "855-504-4089"
        },
        {
            "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": "SAWYER RAMSEY",
        "first_name": "NICOLE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-26",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "4269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TH2822",
            "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 Dec 23, 2024; 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.