| 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 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (NU) | Primary |
| 225XP0200X | Occupational Therapist - Pediatrics | (NU) | Secondary |
| 235Z00000X | Speech-language Pathologist | (NU) | Secondary |
| 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 | Jillianne Jordan |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215799184 PECOS PAC ID: 3375988868 Enrollment ID: I20240223002028 |
| Provider Name | Katelyn Deanna Surprenant |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639755036 PECOS PAC ID: 3173021706 Enrollment ID: I20250812003020 |
| Provider Name | Charles Beacom |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467938225 PECOS PAC ID: 2961907951 Enrollment ID: I20250922002851 |
| Provider Name | Ashley Remensnyder |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477417236 PECOS PAC ID: 0547747271 Enrollment ID: I20260123000594 |
| Provider Name | Sophia Louise Uhlarik |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1366178865 PECOS PAC ID: 3173008232 Enrollment ID: I20260327000274 |
| 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 |