Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Holy City Pediatric Therapy LLC

Organization Pediatric Physical Therapist · NPI 1639568231

Holy City Pediatric Therapy LLC is a Pediatric Physical Therapist in Daniel Island, South Carolina. Licensed in South Carolina. Registered with an NPI since 2015.

Licensed in
SC
In the registry since
2015
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

142 Sportsman Island Dr Ste E
Daniel Island, SC 29492-8524
Phone: (423) 388-8311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence 3907 (SC)
Pediatric Physical Therapist Taxonomy 2251P0200X
Occupational Therapist Taxonomy 225X00000X
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1639568231
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kellye Tolley — Occupational Therapist · (423) 388-5198
Other names Holy City Pediatric Therapy, Llc
NPI enumeratedJanuary 20, 2015
Last updated in NPPESFebruary 22, 2023
Certification dateFebruary 22, 2023
Mailing address142 Sportsman Island Dr Ste E, Charleston, SC 29492-8524

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