Active NPI
Alecia Braxmeier Fancher, PT
- Physical Therapist
- Fort Mill, SC
National Provider Identifier
1245417823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5444
- Practice address
- 130 Crisanto Ave Ste a
Fort Mill, SC 29715-6272 - Phone
- (803) 746-4655
- NPI assigned
- Jan 26, 2008
- Last updated
- Mar 15, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5444 | SC | Primary |
Addresses
Primary practice location
130 Crisanto Ave Ste a
Fort Mill, SC 29715-6272
Mailing address
PO Box 412066
Boston, MA 02241-2066
Phone (914) 294-4050
Other practice location 1
501 Pelham Dr
Apt B 106
Columbia, SC 29209-1341
Phone (803) 238-9615
Other names 1
- Alecia Jessica Fancher
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5444 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| In Home Rehab of South Carolina LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Columbia, SC
- NPI 1669487476
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710460800000",
"number": "1245417823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 412066",
"city": "BOSTON",
"state": "MA",
"postal_code": "022412066",
"telephone_number": "914-294-4050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 CRISANTO AVE STE A",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297156272",
"telephone_number": "803-746-4655"
}
],
"practiceLocations": [
{
"address_1": "501 Pelham Dr",
"address_2": "Apt B 106",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292091341",
"country_code": "US",
"telephone_number": "803-238-9615",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FANCHER",
"first_name": "ALECIA",
"middle_name": "BRAXMEIER",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-26",
"last_updated": "2024-03-15",
"certification_date": "2024-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "5444",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALECIA",
"last_name": "FANCHER",
"middle_name": "JESSICA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Fort Mill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.