MARY ALEX VERISSIMO (NPI# 1356614242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356614242 |
| Entity Type | Individual |
| Full Name | MARY ALEX VERISSIMO |
| Credential | DPT |
| Practice Address |
2070 Northbrook Blvd Ste B4 North Charleston SC 29406-9254 |
| Practice Telephone | 8435693033 |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2018-10-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 070018923 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2070 NORTHBROOK BLVD STE B4 |
| City | NORTH CHARLESTON |
| State | SC |
| Zip Code | 29406-9254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972112324 | Octavia Vadan | Behavior Technician | 2070 Northbrook Blvd Ste B4, North Charleston, SC 29406-9254 | 2020-07-30 |
| 1700445269 | Jenna Cornwall | Behavioral Analyst | 2070 Northbrook Blvd Ste B4, North Charleston, SC 29406-9254 | 2019-06-10 |
| 1114483294 | Samantha Lynn Cliborne | Pediatrics | 2070 Northbrook Blvd Ste B4, North Charleston, SC 29406-9254 | 2019-02-14 |
| 1982168316 | Kaylee Ramirez | Behavior Technician | 2070 Northbrook Blvd Ste B4, North Charleston, SC 29406-9254 | 2019-01-30 |
| 1184191082 | Lorena Kaelber | Occupational Therapist | 2070 Northbrook Blvd Ste B4, North Charleston, SC 29406-9254 | 2018-10-29 |
| 1437634912 | Brooke Johnson Alexander | Student in an Organized Health Care Education/Training Program | 2070 Northbrook Blvd Ste B4, North Charleston, SC 29406-9254 | 2018-10-01 |
| 1114406501 | Danielle Marie Ryan | Technician | 2070 Northbrook Blvd Ste B4, North Charleston, SC 29406-9254 | 2018-08-07 |
| 1003395567 | Regina Manfredi | Behavioral Analyst | 2070 Northbrook Blvd Ste B4, North Charleston, SC 29406-9254 | 2018-08-07 |
| 1407335912 | Jennifer Joy | Speech-Language Pathologist | 2070 Northbrook Blvd Ste B4, North Charleston, SC 29406-9254 | 2018-08-07 |
| 1588155758 | Kyla Wright | Behavior Technician | 2070 Northbrook Blvd Ste B4, North Charleston, SC 29406-9254 | 2018-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023622289 | Sara Desmarais | Physical Therapist | 2760 Tricom St, North Charleston, SC 29406 | 2020-09-04 |
| 1669036448 | Pink Elephant Autism Project | In Home Supportive Care | 8738 Red Oak Drive, Charleston, SC 29406 | 2019-04-26 |
| 1083171185 | Medical University Hospital Authority | Pharmacy | 2250 Mall Drive, North Charleston, SC 29406 | 2019-02-25 |
| 1336627371 | Truesdale Medical Center LLC | Internal Medicine | 6296 Rivers Ave., Suite 310, N. Charleston, SC 29406 | 2018-08-01 |
| 1164914552 | Amanda R Dipiazza | Nurse Anesthetist, Certified Registered | 9330 Medical Plaza Dr Ste E, Charleston, SC 29406 | 2018-06-01 |
| 1982148490 | Trident Medical Center | Psychiatric Hospital | 9225 C Medical Plaza Drive, Charleston, SC 29406 | 2016-12-19 |
| 1649726217 | First Choice Counseling Services, LLC | Community/Behavioral Health | 2245 Greenridge Rd., Unit#414, North Charleston, SC 29406 | 2016-09-01 |
| 1821443896 | Liberty Doctors, LLC | Family Medicine | 9275 D Medical Plaza Dr., North Charleston, SC 29406 | 2016-04-27 |
| 1174984645 | Ashia George | Developmental Therapist | 6650 Rivers Avenue, Ste 100, Charleston, SC 29406 | 2016-03-11 |
| 1023488582 | Etta Smith | Counselor | 2470 Mall Dr Unit Cd, North Charleston, SC 29406 | 2015-09-28 |
| Find all providers in zip 29406 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023622289 | Sara Desmarais | Physical Therapist | 2760 Tricom St, North Charleston, SC 29406 | 2020-09-04 |
| 1962069773 | Thomas Edward Jones | Physical Therapist | 8465 Dorchester Rd Ste B, North Charleston, SC 29420-7307 | 2019-05-28 |
| 1891352332 | Hayes Austin Barnett | Physical Therapist | 5401 Netherby Ln Ste 300, North Charleston, SC 29420-7363 | 2019-05-21 |
| 1609336213 | Cody Gordon Gunselman | Physical Therapist | 9241 University Blvd Ste A, North Charleston, SC 29406-9349 | 2019-03-20 |
| 1134612096 | Erin Lawson | Physical Therapist | 8720 Northpark Blvd Ste D, North Charleston, SC 29406-7201 | 2018-06-14 |
| 1225562754 | Andrew Vinh Tran | Physical Therapist | 2070 Northbrook Blvd Ste A9, North Charleston, SC 29406-9253 | 2017-04-11 |
| 1821405614 | Rosemarie Newport | Physical Therapist | 5406 Crosland Ct E, North Charleston, SC 29420-8243 | 2014-07-14 |
| 1720494990 | Cortlan Robert Greenhalgh | Physical Therapist | 8483 Yadkin Cir, Unit C, North Charleston, SC 29406-9545 | 2014-07-08 |
| 1205273075 | Davis Burr Bradley | Physical Therapist | 5111 N Rhett Ave, North Charleston, SC 29405-4219 | 2013-06-03 |
| 1366889123 | Patrick William Colpitt | Physical Therapist | 2070 Northbrook Blvd Ste B6, North Charleston, SC 29406-9254 | 2013-06-03 |
| Find all providers in NORTH CHARLESTON | ||||
| City | NORTH CHARLESTON |
| Zip Code | 29406 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.