Gabrielle Nicole Axson, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

Practice address

2387 Lantern St
Charleston, SC 29414-4850

Phone

(317) 750-9879

Fax

(843) 620-0722

NPI assigned

Mar 30, 2026

Last updated

Mar 30, 2026By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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 Play 2 Grow Therapy, LLC

  • Physical Therapist
  • Charleston, SC
  • NPI 1750828364

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1774828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1407796493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2387 LANTERN ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294144850",
            "telephone_number": "317-750-9879",
            "fax_number": "843-620-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2387 LANTERN ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294144850",
            "telephone_number": "317-750-9879",
            "fax_number": "843-620-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AXSON",
        "first_name": "GABRIELLE",
        "middle_name": "NICOLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-30",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avondale Eye Care
• Avondale Family Dentistry LLC
• Avondale Therapy
• Diana Axiotis, PA-C
• Robert Neal Axon, MD
• Jocarol Ayer, RN-C
• Jacob Lee Ayers, DMD
• Richard Conran Ayers Jr.
• Kofi Ayiku
• James K Aymond, MD

• Pediatric Physical Therapist in Charleston, SC
• Providers in Charleston, SC by specialty
• Pediatric Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; 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.