Individual provider Active NPI

Ann Elise Crisafulli, DPT

  • Physical Therapist
  • Clemson, SC
National Provider Identifier
1346857190
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11496 Issued in SC
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

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201001001328 AL Practitioner - Physical Therapist in Private Practice 3870912405 Reassigns benefits to 1 organization
I20221215003084 SC Practitioner - Physical Therapist in Private Practice 3870912405 Reassigns benefits to 2 organizations

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
Excel Rehabilitation and SportsGroup PAC ID 1759481559, 53 clinicians

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

LicenseStateTypeSpecialty
11496SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Excel Rehabilitation and Sports Physical Therapist CurrentSince Dec 12, 2022 Accepting new patients
Fox Rehabilitation Services of South Carolina, LLC Physical Therapist CurrentSince Sep 1, 2023 Accepting new patients
Excel Rehabilitation and Sports Physical Therapist CurrentSince Dec 12, 2022 Accepting new patients
Ati Holdings of Alabama, LLC Physical Therapist CurrentSince Sep 14, 2020 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.

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.

Verify at the official NPI Registry.