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

Carolyn Burke Ellis

Individual provider Occupational Therapy Assistant · NPI 1508388703

Carolyn Burke Ellis is an Occupational Therapy Assistant in Myrtle Beach, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2017

Practice location Address checks out

3620 Happy Woods Ct
Myrtle Beach, SC 29588-2925
Phone: (843) 457-7624
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 3651 (SC)

Record details

NPI number1508388703
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 10, 2017
Last updated in NPPESJuly 10, 2017

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