Individual provider Active NPI

Allison Dworschak, MSR, PT, PCS

  • Physical Therapist
  • Summerville, SC
National Provider Identifier
1538268222
Registry record updated Apr 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4475 Issued in SC
Practice address
801 Pine Bluff Dr
Summerville, SC 29483-1649
Phone
(843) 814-0724
Fax
(843) 970-2470
NPI assigned
Sep 21, 2006
Last updated
Apr 6, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2016

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 4475 SC Primary

Addresses

Primary practice location

801 Pine Bluff Dr
Summerville, SC 29483-1649

Mailing address

1317 N Main St Ste M
Summerville, SC 29483-7380
Phone (843) 814-0724

Other identifiers 1

IdentifierTypeStateIssuer
TH1334MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4475SCMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459900800000",
    "number": "1538268222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 N MAIN ST STE M",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294837380",
            "telephone_number": "843-814-0724",
            "fax_number": "843-970-2470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 PINE BLUFF DR",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294831649",
            "telephone_number": "843-814-0724",
            "fax_number": "843-970-2470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWORSCHAK",
        "first_name": "ALLISON",
        "credential": "MSR, PT, PCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2016-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "4475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TH1334",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; 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.