Ayoe Alexa Kelly, DPT, PT
Physical Therapist in North Charleston, SC. Individual provider (NPI-1).
NPI number1962049288
StatusActive
Last updated in NPPESDec 5, 2019
Details
- NPI
- 1962049288
- Entity type
- Individual (NPI-1)
- Name
- Ayoe Alexa Kelly
- Credential
- DPT, PT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 5, 2019
- Last updated
- Dec 5, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 9963 | SC | Yes |
Practice location
7800 Rivers Ave Ste 1240North Charleston, SC 29406-4067
Phone 843-277-0710 · Fax 843-573-7412
Mailing address
141 Atrium WayColumbia, SC 29223-6301
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 125 Physical Therapist providers in North Charleston · All 2,746 providers in North Charleston
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