Allwonderbility LLC

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

Legal business name

ALLWONDERBILITY LLC

Practice address

3510 Park Avenue Blvd Ste 105
Mount Pleasant, SC 29466-7361

Phone

(843) 806-1858

Fax

(843) 326-0161

NPI assigned

Jan 6, 2025

Organization subpart

No

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

Authorized official

Name

Michael Verissimo

Title

Co-Founder

Phone

(843) 806-1858

Specialties & licenses 6

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Alexandra Verissimo, DPT

  • Physical Therapist
  • Mount Pleasant, SC
  • NPI 1356614242

  Pediatrics

  NPD

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

{
    "created_epoch": "1736121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1376352237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 FAITH ST",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294666874",
            "telephone_number": "843-806-1858",
            "fax_number": "843-326-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 PARK AVENUE BLVD STE 105",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294667361",
            "telephone_number": "843-806-1858",
            "fax_number": "843-326-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLWONDERBILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "VERISSIMO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "843-806-1858"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lee Lovett Allison, M.D.
• Altr Performance & Physical Therapy
• Alysson Goodwin, Otr/L
• Amanda Komisarow DMD LLC
• American Health Imaging of South Carolina LLC
• Ameripath SC Inc

• All providers in Mount Pleasant, SC
• Pediatric Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.