Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Dustin Azevedo, LPTA

Individual provider Physical Therapy Assistant · NPI 1255900452

Mr. Dustin Azevedo, LPTA is a Physical Therapy Assistant in Charleston, South Carolina. Licensed in South Carolina. Registered with an NPI since 2021.

Licensed in
SC
In the registry since
2021

Practice location Address checks out

109 Bee St
Charleston, SC 29401-5703
Phone: (843) 789-7111
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 6235 (SC)

Record details

NPI number1255900452
Entity typeIndividual (Type 1)
GenderMale
Credentials LPTA
Sole proprietorNo
NPI enumeratedJune 22, 2021
Last updated in NPPESJune 22, 2021
Certification dateJune 22, 2021

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