Alysia Ann Clarkson

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6753 Issued in SC

Practice address

1134 Turkey Trot Dr
Johns Island, SC 29455-8798

Phone

(843) 761-1480

Fax

(843) 761-1481

NPI assigned

Jul 16, 2012

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

Other names 1

• Alysia Ann Gorski Former name

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coastal Movement Specialists LLCGroup PAC ID 9133547425, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Coastal Movement Specialists LLC

  dba Coastal Movement Specialists

  • Physical Therapy Clinic/Center
  • Johns Island, SC
  • NPI 1780293837

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Berkeley Rehabilitation, LLC

  dba Rehab Carolina

  • Physical Therapist
  • Charleston, SC
  • NPI 1194344150
  Medicare reassignment NPD
• RSFH - Ati Physical Therapy, LLC

  • Physical Therapist
  • Charleston, SC
  • NPI 1912378365
  Medicare reassignment NPD
• RSFH - Ati Physical Therapy, LLC

  dba Ati Physical Therapy

  • Durable Medical Equipment & Medical Supplies
  • North Charleston, SC
  • NPI 1689405664

  Physical Therapist

  NPD

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1356696439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1134 TURKEY TROT DR",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294558798",
            "telephone_number": "843-761-1480",
            "fax_number": "843-761-1481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1134 TURKEY TROT DR",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294558798",
            "telephone_number": "843-761-1480",
            "fax_number": "843-761-1481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKSON",
        "first_name": "ALYSIA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-16",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "6753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSIA",
            "last_name": "GORSKI",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lisa Ceinski, MS, OTR/L
• Charleston Direct Primary Care
• Charleston Rheumatology LLC
• Austin Claude Chirgwin
• Renee Chmura
• Coastal Family Dentistry of Johns Island
• Coastal Movement Specialists LLC (Coastal Movement Specialists)
• Thelma Latrice Cohen
• Patricia May Coleman, FNP
• Sarah Leah Comolli, PHARMD

• Physical Therapist in Johns Island, SC
• Providers in Johns Island, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; 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.