Active NPI
Alexinna Mickens
- Physical Therapy Assistant
- Hopkins, SC
National Provider Identifier
1962294645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- CP043996A
- Practice address
- 2250 S Partridge Cir
Hopkins, SC 29061-9437 - Phone
- (803) 806-9349
- NPI assigned
- May 20, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 4966 | SC | |
| Physical Therapy Assistant | 225200000X | CP043996A | MD | Primary |
Addresses
Primary practice location
2250 S Partridge Cir
Hopkins, SC 29061-9437
Mailing address
2250 S Partridge Cir
Hopkins, SC 29061-9437
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
| License | State | Type | Specialty |
|---|---|---|---|
| CP043996A | MD | MD | Physical Therapy Assistant |
| 4966 | SC | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747785600000",
"number": "1962294645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2250 S PARTRIDGE CIR",
"city": "HOPKINS",
"state": "SC",
"postal_code": "290619437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2250 S PARTRIDGE CIR",
"city": "HOPKINS",
"state": "SC",
"postal_code": "290619437",
"telephone_number": "803-806-9349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICKENS",
"first_name": "ALEXINNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-05-20",
"last_updated": "2025-05-21",
"certification_date": "2025-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "SC",
"license": "4966",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MD",
"license": "CP043996A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hopkins, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.