Individual provider Active NPI

Alexa S Montero, DPT

  • Physical Therapist
  • Charleston, SC
National Provider Identifier
1609321975
Registry record updated Oct 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8555 Issued in SC
Practice address
1812 Sam Rittenberg Blvd Ste 18
Charleston, SC 29407-4868
Phone
(843) 779-7377
Fax
(843) 779-7378
NPI assigned
Aug 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT31718 FL
Physical Therapist 225100000X 8555 SC Primary

Addresses

Primary practice location

1812 Sam Rittenberg Blvd Ste 18
Charleston, SC 29407-4868

Mailing address

800 Crescent Centre Dr Ste 300
Franklin, TN 37067-7285
Phone (615) 373-1350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170612002656 SC Practitioner - Physical Therapist in Private Practice 0143598359 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Carolina Sports Medicine and Orthopaedic CenterGroup PAC ID 8527972637, 43 clinicians

Practice addresses (Care Compare)

2760 Tricom St
North Charleston, SC 29406-9169
Phone (843) 300-8585

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8555SCMDPharmacist
PT31718FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Agilitas USA, Inc Physical Therapist CurrentSince May 15, 2017 Accepting new patients
South Carolina Sports Medicine & Orthopaedic Center CurrentSince May 1, 2024 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince May 15, 2017 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

915 Folly Rd
Ste J
Charleston, SC 29412
Phone (843) 203-6955

1812 Sam Rittenberg Blvd
Ste 18
Charleston, SC 29407
Phone (843) 779-7377

3032 W Montague Ave
Ste 101
North Charleston, SC 29418
Phone (843) 885-8772

9100 Medcom St
North Charleston, SC 29406
Phone (843) 569-3367

2760 Tricom St
North Charleston, SC 29406
Phone (843) 300-8585

9512 Dorchester Rd
Ste 140
Summerville, SC 29485
Phone (843) 695-7970

800 Crescent Centre Dr
Ste 600
Franklin, TN 37067
Phone (615) 416-0199

800 Crescent Centre Dr
Ste 300
Franklin, TN 37067

Interoperability endpoints

  • Direct secure messaging: alexa.montero.1@1516.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/1516/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570060800000",
    "number": "1609321975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CRESCENT CENTRE DR STE 300",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370677285",
            "telephone_number": "615-373-1350",
            "fax_number": "615-221-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 SAM RITTENBERG BLVD STE 18",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074868",
            "telephone_number": "843-779-7377",
            "fax_number": "843-779-7378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTERO",
        "first_name": "ALEXA",
        "middle_name": "S",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-16",
        "last_updated": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT31718",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "8555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; 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.