Alison Eubanks Fogle, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

3466 Issued in SC

Practice address

731 Polo Rd
Columbia, SC 29223-4462

Phone

(888) 509-7094

NPI assigned

Feb 15, 2016

Last updated

Feb 15, 2016By 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

State licenses

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455494400000",
    "number": "1629437983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 NUBBIN RIDGE RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292039501",
            "telephone_number": "803-553-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 POLO RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292234462",
            "telephone_number": "888-509-7094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOGLE",
        "first_name": "ALISON",
        "middle_name": "EUBANKS",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-15",
        "last_updated": "2016-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "3466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Flynn
• Philip Dunne Flynn IV, OD
• Sean Montague Flynn, D.M.D.
• Focus Eye Care Center, PC
• Focus Eye Care Center, PC (Focus Eye Care)
• Elizabeth Summers Fogle, CCC-SLP
• Vernell Kennedy Fogle, PH.D.
• Wendy Fogo, PH.D. CLINICAL PSYCH
• Briana Foley, M.ED, BCBA, NCLBA
• Jillian R Foley, PA-C

• Physical Therapy Assistant in Columbia, SC
• Providers in Columbia, SC by specialty
• Physical Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.