ALEXIS DUBOSE
NPI 1679395487
Occupational Therapist in Moncks Corner, SC

Active since October 31, 2024
421 BARONY ST STE 3, MONCKS CORNER, SC 29461(843) 790-4093 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alexis Dubose NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXIS DUBOSE (NPI 1679395487) is an individual occupational therapist in Moncks Corner, South Carolina, licensed in South Carolina (7405) and active in the NPI registry since October 2024. She is a graduate of Other (2024).

NPPES Registry Identity

NPI1679395487
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameALEXIS DUBOSE
Location Address421 BARONY ST STE 3Moncks Corner, SC 29461-3145
Mailing Address174 Kitfield RdMoncks Corner, SC 29461-4209 · (843) 499-2600
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 31, 2024
NPPES CertifiedOctober 31, 2024
NPI 1679395487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License Licensed in SC · 7405
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
421 BARONY ST STE 3, Moncks Corner, SC 29461

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Alexis Dubose is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446728778
PECOS Enrollment IDI20260506000068

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Early Intervention Provider Agency
421 BARONY ST STE 3
MONCKS CORNER, SC 29461
Occupational Therapy Assistant
421 BARONY ST STE 3
MONCKS CORNER, SC 29461
Speech-Language Pathologist
421 BARONY ST STE 3
MONCKS CORNER, SC 29461
Speech-Language Pathologist
421 BARONY ST STE 3
MONCKS CORNER, SC 29461
Occupational Therapy Assistant
421 BARONY ST STE 3
MONCKS CORNER, SC 29461
Speech-Language Pathologist
421 BARONY ST STE 3
MONCKS CORNER, SC 29461
Specialist/Technologist (Speech-Language Assistant)
421 BARONY ST STE 3
MONCKS CORNER, SC 29461
Speech-Language Pathologist
421 BARONY ST STE 3
MONCKS CORNER, SC 29461

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexis Dubose's NPI number?

The NPI number for Alexis Dubose is 1679395487. It was assigned to this individual provider in the NPPES registry on October 31, 2024.

Where is Alexis Dubose located?

Alexis Dubose practices at 421 Barony St Ste 3, Moncks Corner, SC 29461. The listed phone number is (843) 790-4093.

What is Alexis Dubose's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Alexis Dubose enrolled in Medicare?

Yes. Alexis Dubose is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alexis Dubose was last updated on October 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.