Clarice Pinder Averkin, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2978 Issued in SC

Practice address

20 Ladyslipper LN
Hilton Head Island, SC 29926-1372

Phone

(843) 689-7085

NPI assigned

May 3, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620000000000",
    "number": "1144803602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 LUCAS DR",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299364430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 LADYSLIPPER LN",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299261372",
            "telephone_number": "843-689-7085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINDER AVERKIN",
        "first_name": "CLARICE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-03",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "2978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clarice.averkin@selectrehab.com",
            "affiliation": "Y",
            "endpointDescription": "Email",
            "affiliationName": "Select Rehab",
            "address_1": "1739 Kirby Rd",
            "city": "Mc Lean",
            "state": "VA",
            "country_code": "US",
            "postal_code": "221014817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David Allen Phillips, MD
• Raleigh Phillips, D.C.
• Katherine B Philpott, DPT
• Natalie Rene Phongam, DPT, PT
• Physical Therapy Center LLC
• Harry E Pinkus, MD
• John Thomas Pion Jr., DPT
• Ashley Bryanna Pitzer, RPH
• William Brian Plasky, PT
• Sharon Benton Plewinski, PT

• Physical Therapy Assistant in Hilton Head Island, SC
• Providers in Hilton Head Island, SC by specialty
• Physical Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.