Healthcare Provider Details

I. General information

NPI: 1639908098
Provider Name (Legal Business Name): JOSEPH GASIOR DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2024
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1836 ASHLEY RIVER RD STE J
CHARLESTON SC
29407-4781
US

IV. Provider business mailing address

400 CAROLINA CHERRY CT UNIT 204
CHARLESTON SC
29414-6796
US

V. Phone/Fax

Practice location:
  • Phone: 854-202-8371
  • Fax:
Mailing address:
  • Phone: 330-979-5767
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT41882
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT13491
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: