MEDICARE: ALEXIS ATON PT, DPT, OCS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	1208646	TX
2	225100000X	Physical Therapist	7070	SC

General Provider Information

NPI Number	:	1992093991
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXIS ATON PT, DPT, OCS

Provider Business Mailing Address
First Line	:	1539 HARRIMAN ST
Second Line	:
City	:	MOUNT PLEASANT
State	:	SC
Zip	:	29466-7540
Country	:	US
Telephone Number	:	817-707-4441
Fax Number	:

Provider Business Practice Location Address
First Line	:	2695 ELMS PLANTATION BLVD STE C
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29406-7132
Country	:	US
Telephone Number	:	843-974-8877
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2011
Last Update Date	:	11/17/2021

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