| Charleston Ot Llc | |
| 1563 Sam Rittenberg Blvd, Charleston, SC 29407-4248 | |
| (843) 277-2411 | |
| (855) 504-4089 | 
| Full Name | Charleston Ot Llc | 
|---|---|
| Type | Facility | 
| Speciality | Occupational Therapist | 
| Location | 1563 Sam Rittenberg Blvd, Charleston, South Carolina | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1144679655 | NPI | - | NPPES | 
| GP7360 | Medicaid | SC | 
| Provider Name | Katherine Austin | 
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1184145880 PECOS PAC ID: 7315212438 Enrollment ID: I20170928004121 | 
| Provider Name | Nicole Sawyer-ramsey | 
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1649691395 PECOS PAC ID: 2062832314 Enrollment ID: I20201026002938 | 
| Provider Name | Allison Elliott | 
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1467057547 PECOS PAC ID: 3577930254 Enrollment ID: I20221109002207 | 
| Provider Name | Angela Beard | 
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1588719249 PECOS PAC ID: 7719354497 Enrollment ID: I20221109002328 | 
| Provider Name | Christy Myjak | 
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1649834086 PECOS PAC ID: 1658748181 Enrollment ID: I20221111002343 | 
| Provider Name | Katilyn Mclaughlin | 
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1164035549 PECOS PAC ID: 6901274380 Enrollment ID: I20221115003124 | 
| Provider Name | Jaclyn Prendergast | 
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1134891682 PECOS PAC ID: 8921476185 Enrollment ID: I20221118000609 | 
| Provider Name | Stephanie Cameron | 
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1538752415 PECOS PAC ID: 7618345612 Enrollment ID: I20221123000638 | 
| Provider Name | Jillianne Jordan | 
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1215799184 PECOS PAC ID: 3375988868 Enrollment ID: I20240223002028 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Charleston Ot Llc 1563 Sam Rittenberg Blvd, Charleston, SC 29407-4248 Ph: (843) 277-2411 | Charleston Ot Llc 1563 Sam Rittenberg Blvd, Charleston, SC 29407-4248 Ph: (843) 277-2411 | 
| Mr. Shawn Styles, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1941 Savage Road, Suite 400c, Charleston, SC 29407 Phone: 843-571-2700 Fax: 843-571-2124 | |
| Mira Kraft, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2230 Ashley Crossing Dr, Charleston, SC 29414 Phone: 843-766-5228 | |
| Mrs. Alysson Miller Goodwin, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 29 Race St, Charleston, SC 29403 Phone: 318-792-1696 | |
| Amanda Prester Beacham, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 45 Sycamore Ave Apt 917, Charleston, SC 29407 Phone: 843-900-6202 Fax: 843-574-8858 | |
| Mary Katherine Melroy, O.T.R. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 236 Confederate Cir, Charleston, SC 29407 Phone: 843-718-5898 | |
| Julia Gilkerson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 34 Colleton Dr, Charleston, SC 29407 Phone: 843-991-7709 | |
| Oceanside Manual Therapies Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1018 Stono River Dr, Charleston, SC 29412 Phone: 203-215-9117 |