Active NPI
Pamela McGlothlin Ellison, RN PTA
- Physical Therapy Assistant
- Charleston, SC
National Provider Identifier
1750420220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2306601404
- Practice address
- 1941 Savage Rd
Suite 400C
Charleston, SC 29407-4704 - Phone
- (866) 571-2700
- Fax
- (877) 571-2124
- NPI assigned
- Feb 5, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R 83691 | SC | |
| Physical Therapy Assistant | 225200000X | 1610 | SC | |
| Physical Therapy Assistant | 225200000X | 2306601404 | VA | Primary |
Addresses
Primary practice location
1941 Savage Rd
Suite 400C
Charleston, SC 29407-4704
Mailing address
500 BB Sams Dr
Saint Helena Island, SC 29920-3010
Phone (843) 838-3325
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 |
|---|---|---|---|
| 1610 | SC | MD | Clinical Psychologist |
| R 83691 | SC | MD | Registered Nurse |
| 2306601404 | VA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1750420220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 BB SAMS DR",
"city": "SAINT HELENA ISLAND",
"state": "SC",
"postal_code": "299203010",
"telephone_number": "843-838-3325",
"fax_number": "843-838-3325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1941 SAVAGE RD",
"address_2": "SUITE 400C",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294074704",
"telephone_number": "866-571-2700",
"fax_number": "877-571-2124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLISON",
"first_name": "PAMELA",
"middle_name": "MCGLOTHLIN",
"credential": "RN PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-05",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "SC",
"license": "R 83691",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "SC",
"license": "1610",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "VA",
"license": "2306601404",
"primary": true
}
],
"identifiers": [],
"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 Sep 11, 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.