Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
HOLY CITY PEDIATRIC THERAPY LLC
Active
Organization
HOLY CITY PEDIATRIC THERAPY LLC
Active
Other names
Holy City Pediatric Therapy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KELLYE TOLLEY OTR/L (OCCUPATIONAL THERAPIST)
(423) 388-5198
Entity
Organization
Contact information
Practice address
142 SPORTSMAN ISLAND DR STE E, DANIEL ISLAND, SC 29492-8524
(423) 388-8311
Mailing address
2030 WAMBAW CREEK RD STE 200, CHARLESTON, SC 29492-8382
(843) 708-9138
(888) 659-8008
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
NULL
2251P0200X
Pediatric Physical Therapist
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
261Q00000X
Clinic/Center
Primary
3907
SC
Other
Enumeration date
01/20/2015
Last updated
08/24/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers