NPI 1376352237 · live from the CMS NPI Registry
Allwonderbility LLC
Physical Therapist, Pediatrics in Mount Pleasant, SC. National Provider Identifier 1376352237, active.
NPI record
| NPI | 1376352237 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist, Pediatrics 2251P0200X |
| Practice location | 3510 Park Avenue Blvd Ste 105, Mount Pleasant, SC 29466 |
| Practice phone | 843-806-1858 |
| Mailing address | 1504 Faith St, Mount Pleasant, SC 29466 |
| Enumerated | January 6, 2025 |
| Last updated | April 1, 2025 |
| Authorized official | Michael Verissimo, Co-Founder |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | — |
| Occupational Therapy Assistant | 224Z00000X | — |
| Physical Therapist, Pediatrics primary | 2251P0200X | — |
| Physical Therapy Assistant | 225200000X | — |
| Occupational Therapist, Pediatrics | 225XP0200X | — |
| Speech-Language Pathologist, | 235Z00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.