Alexander Allen, DPT
Individual provider Active NPI Physical Therapist · Mount Pleasant, SC
NPI 1376307462 · NPPES record last updated Feb 8, 2024
Key facts
- NPI
- 1376307462
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 12256 (SC)
- Practice address
- 1000 Johnnie Dodds Blvd Ste 101
Mount Pleasant, SC 29464-3187 - Phone
- (843) 284-7470
- NPI assigned
- Feb 8, 2024
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Campbell Univ School of Osteopathic Medicine, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- South Carolina Sports Medicine and Orthopaedic Center
Practice addresses (Care Compare)
2760 Tricom St
North Charleston, SC 29406-9169
Phone (843) 300-8585
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240603002132 | SC | Practitioner - Physical Therapist in Private Practice | 0840732111 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12256 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Carolina Sports Medicine & Orthopaedic Center | Current |
Accepting new patients |
Locations
2760 Tricom St
North Charleston, SC 29406
Phone (843) 300-8585
9100 Medcom St
North Charleston, SC 29406
Phone (843) 569-3367
Interoperability endpoints
- https://api.platform.athenahealth.com/1516/brand/1/csg/1/fhir/r4
- alexander.allen.1@1516.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 12256 | SC | Yes |
Addresses
Primary practice location
1000 Johnnie Dodds Blvd Ste 101
Mount Pleasant, SC 29464-3187
Mailing address
6 Townpark LN Apt E
Charleston, SC 29412-1530
Other providers in Mount Pleasant, SC
- Alive & Well Counseling, LLC
- All on Board Speech, LLC
- Natalie McRae Allard
- Allelon
- Allen Family Dentistry, LLC
- Chelsea Bond Allen
- Cory Taylor Allen
- Latisha Allen
- Allergy & Asthma Consultants, LLP
- Allergy Partners, PLLC
All providers in Mount Pleasant, SC · Physical Therapist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.