Active NPI
Ann Elise Crisafulli, DPT
- Physical Therapist
- Clemson, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11496
- Practice address
- 501 Forest LN Ste a
Clemson, SC 29631-2621 - Phone
- (864) 654-2001
- Fax
- (800) 305-7112
- NPI assigned
- Sep 25, 2020
- 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 | 11496 | SC | Primary |
Addresses
Primary practice location
501 Forest LN Ste a
Clemson, SC 29631-2621
Mailing address
625 Kenmoor Ave SE Ste 100
Grand Rapids, MI 49546-2395
Phone (616) 356-5000
Other practice location 1
3901 Wrightsville Ave Ste 120
Wilmington, NC 28403-6256
Phone (910) 679-8385
Other practice location 2
833 Saint Vincents Dr Unit 1
Birmingham, AL 35205-1606
Phone (205) 730-3190
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, SC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
501 Forest LN
Suite a
Clemson, SC 29631-2621
Phone (864) 654-2001
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11496 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excel Rehabilitation and Sports | Physical Therapist | Current | Accepting new patients |
| Fox Rehabilitation Services of South Carolina, LLC | Physical Therapist | Current | Accepting new patients |
| Excel Rehabilitation and Sports | Physical Therapist | Current | Accepting new patients |
| Ati Holdings of Alabama, LLC | Physical Therapist | Current | Accepting new patients |
| Coastal Speech and Reading Center | Past | Accepting new patients |
Locations
833 Saint Vincents Dr
Ste 100
Birmingham, AL 35205
Phone (205) 730-3190
1877 Cherokee Ave SW
Cullman, AL 35055
Phone (256) 727-1701
790 Remington Blvd
Bolingbrook, IL 60440
625 Kenmoor Ave SE
Ste 100
Grand Rapids, MI 49546
501 Forest Ln
Ste A
Clemson, SC 29631
Phone (864) 654-2001
1664 E Main St
Easley, SC 29640
Phone (864) 654-2001
103 Halton Rd
#B
Greenville, SC 29607
Phone (864) 336-8599
11091 N Radio Station Rd
Seneca, SC 29678
Phone (864) 654-2001
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Clemson, SC
- NPI 1740358324
-
- Physical Therapist
- Lexington, SC
- NPI 1902133689
-
- Physical Therapist
- Lincoln, AL
- NPI 1063952646
-
- Physical Therapist
- Greenville, SC
- NPI 1952272379
-
- Speech-Language Pathologist
- Lumberton, NC
- NPI 1649626466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755129600000",
"number": "1346857190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 KENMOOR AVE SE STE 100",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495462395",
"telephone_number": "616-356-5000",
"fax_number": "616-356-5001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 FOREST LN STE A",
"city": "CLEMSON",
"state": "SC",
"postal_code": "296312621",
"telephone_number": "864-654-2001",
"fax_number": "800-305-7112"
}
],
"practiceLocations": [
{
"address_1": "3901 Wrightsville Ave Ste 120",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284036256",
"country_code": "US",
"telephone_number": "910-679-8385",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "833 Saint Vincents Dr Unit 1",
"address_purpose": "LOCATION",
"city": "Birmingham",
"state": "AL",
"postal_code": "352051606",
"country_code": "US",
"telephone_number": "205-730-3190",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRISAFULLI",
"first_name": "ANN",
"middle_name": "ELISE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-25",
"last_updated": "2025-08-14",
"certification_date": "2025-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "11496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clemson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.