Healthcare Provider Details

I. General information

NPI: 1144679655
Provider Name (Legal Business Name): CHARLESTON OT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2016
Last Update Date: 11/20/2025
Certification Date: 11/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1563 SAM RITTENBERG BLVD
CHARLESTON SC
29407-4248
US

IV. Provider business mailing address

1563 SAM RITTENBERG BLVD
CHARLESTON SC
29407-4248
US

V. Phone/Fax

Practice location:
  • Phone: 843-277-2411
  • Fax: 855-504-4089
Mailing address:
  • Phone: 843-277-2411
  • Fax: 855-504-4089

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: NICOLE SAWYER RAMSEY
Title or Position: OWNER
Credential: MOT
Phone: 774-721-6252