Active NPI
Alexandra Candela Whittle
- Physical Therapy Assistant
- Daniel Island, SC
National Provider Identifier
1992398275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 3914
- Practice address
- 3005 Haswell St Apt 1316
Daniel Island, SC 29492-6412 - Phone
- (854) 202-3436
- NPI assigned
- Feb 17, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 3914 | SC | Primary |
Addresses
Primary practice location
3005 Haswell St Apt 1316
Daniel Island, SC 29492-6412
Mailing address
3005 Haswell St Apt 1316
Daniel Island, SC 29492-6412
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613520000000",
"number": "1992398275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3005 HASWELL ST APT 1316",
"city": "DANIEL ISLAND",
"state": "SC",
"postal_code": "294926412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3005 HASWELL ST APT 1316",
"city": "DANIEL ISLAND",
"state": "SC",
"postal_code": "294926412",
"telephone_number": "854-202-3436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITTLE",
"first_name": "ALEXANDRA",
"middle_name": "CANDELA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-17",
"last_updated": "2021-02-17",
"certification_date": "2021-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "SC",
"license": "3914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Daniel Island, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.