Holy City Pediatric Therapy, LLC

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

Legal business name

HOLY CITY PEDIATRIC THERAPY, LLC

Practice address

2103 Sewee Indian CT
Mt Pleasant, SC 29466-8054

Phone

(423) 388-8311

NPI assigned

Jul 7, 2021

Organization subpart

No

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

Authorized official

Name

Dustin Tolley, DPT

Title

Owner

Phone

(423) 388-8311

Specialties & licenses 3

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ryan Patrick Hill, DPT

  • Physical Therapist
  • Ladson, SC
  • NPI 1679860647
  NPD
• Heather Barwick Maharrey, PT

  • Physical Therapist
  • Ladson, SC
  • NPI 1154403830

  Pediatrics

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626998400000",
    "number": "1841861176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 SEWEE INDIAN CT",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294668054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 SEWEE INDIAN CT",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294668054",
            "telephone_number": "423-388-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY CITY PEDIATRIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-07",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A",
        "authorized_official_last_name": "TOLLEY",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-388-8311",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell Hollander, LICENSED OPTICIAN
• Heaven Hollender, PHD AND CRC
• Hannah M Holley, BCBA
• Emily Bryant Hollins, PHARMD
• Priscilla Wilcox Holtzclaw, M.D.
• Home Care Plus, LLC (Home Care Plus)
• Home Haven Care
• Homecare DME
• Jacqueline Skonieczki Homer, DPT
• Jeffrey Hood, OD

• Pediatric Physical Therapist in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Pediatric Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; 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.