Provider Demographics
NPI:1265066658
Name:ALAVI, SAHAR (DPT, PT)
Entity type:Individual
Prefix:DR
First Name:SAHAR
Middle Name:
Last Name:ALAVI
Suffix:
Gender:F
Credentials:DPT, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1439 CAMBRIDGE LAKES DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-7301
Mailing Address - Country:US
Mailing Address - Phone:423-794-7882
Mailing Address - Fax:
Practice Address - Street 1:1439 CAMBRIDGE LAKES DR
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-7301
Practice Address - Country:US
Practice Address - Phone:423-794-7882
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-25
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCPT.10133208000000X
SC101332251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty