Individual provider Active NPI

Pamela McGlothlin Ellison, RN PTA

  • Physical Therapy Assistant
  • Charleston, SC
National Provider Identifier
1750420220
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2306601404 Issued in VA
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

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
1610SCMDClinical Psychologist
R 83691SCMDRegistered Nurse
2306601404VAMDPhysical 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.

Verify at the official NPI Registry.