Active NPI
Alexandra Christine Judge
- Physical Therapist
- North Myrtle Beach, SC
National Provider Identifier
1003748450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13438
- Practice address
- 1621 Highway 17 N
North Myrtle Beach, SC 29582-2229 - Phone
- (843) 353-3460
- NPI assigned
- Jun 1, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 13438 | SC | Primary |
| Physical Therapist | 225100000X | PT7429 | ME |
Addresses
Primary practice location
1621 Highway 17 N
North Myrtle Beach, SC 29582-2229
Mailing address
192 Bramble CT
Buffalo, NY 14221-1715
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- State University of New York at Buffalo School of Medicine, 2026
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1621 Hwy 17 N
North Myrtle Beach, SC 29582-2229
Phone (843) 353-3460
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781049600000",
"number": "1003748450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "192 BRAMBLE CT",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142211715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1621 HIGHWAY 17 N",
"city": "NORTH MYRTLE BEACH",
"state": "SC",
"postal_code": "295822229",
"telephone_number": "843-353-3460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUDGE",
"first_name": "ALEXANDRA",
"middle_name": "CHRISTINE",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2026-06-01",
"last_updated": "2026-06-10",
"certification_date": "2026-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "13438",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "PT7429",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.