Active NPI
Ayoe Alexa Kelly, DPT, PT
- Physical Therapist
- North Charleston, SC
National Provider Identifier
1962049288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9963
- Practice address
- 7800 Rivers Ave Ste 1240
North Charleston, SC 29406-4067 - Phone
- (843) 277-0710
- Fax
- (843) 573-7412
- NPI assigned
- Dec 5, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 9963 | SC | Primary |
Addresses
Primary practice location
7800 Rivers Ave Ste 1240
North Charleston, SC 29406-4067
Mailing address
141 Atrium Way
Columbia, SC 29223-6301
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575504000000",
"number": "1962049288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 ATRIUM WAY",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292236301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7800 RIVERS AVE STE 1240",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294064067",
"telephone_number": "843-277-0710",
"fax_number": "843-573-7412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "AYOE",
"middle_name": "ALEXA",
"credential": "DPT, PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-05",
"last_updated": "2019-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "9963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.